title: A case of a living-related kidney transplantation after ex-vivo repair of the donor renal artery aneurysm.
abstract: BACKGROUND
  Kidney transplantation is the definite surgical treatment for end-stage renal disease. Shortage of organs and the increasing number of patients with end-stage renal disease has led to an expansion of the selection criteria promoting the use of organs from marginal donors. Use of kidneys with renal artery aneurysm (RAA) is one such example. Description of the case: We report a case of living-related kidney transplantation from a 46-year-old female donor with unilateral RAA to her 68-year-old father. The pre-operative donor's assessment with a computed tomography angiogram revealed a saccular aneurysm of the left renal artery. The transplant team proceeded to the left nephrectomy, surgical ex vivo repair of the aneurysm and transplantation of this kidney to the recipient, with the total ischemic time of 130 minutes. At revascularization, there was no anastomotic leak with good perfusion of the organ and normal postoperative kidney function.
  
  
  CONCLUSIONS
  RAA is a rare renal anatomical abnormality with unproven clinical significance. Advanced microvascular surgical techniques can be used to repair the aneurysm with subsequent successful use for transplantation. Hippokratia 2016, 20(1): 90-92.
authors.affiliation: Hepatobiliary and Transplant Surgery, Institute of Transplantation, Freeman Hospital, Newcastle Upon Tyne, UK.
authors.forename: P
authors.initials: P
authors.lastname: Christopoulos
authors.affiliation: Hepatobiliary and Transplant Surgery, Institute of Transplantation, Freeman Hospital, Newcastle Upon Tyne, UK.
authors.forename: A
authors.initials: A
authors.lastname: Faryal
authors.affiliation: Hepatobiliary and Transplant Surgery, Institute of Transplantation, Freeman Hospital, Newcastle Upon Tyne, UK.
authors.forename: M
authors.initials: M
authors.lastname: Dosani
authors.affiliation: Hepatobiliary and Transplant Surgery, Institute of Transplantation, Freeman Hospital, Newcastle Upon Tyne, UK.
authors.forename: D
authors.initials: D
authors.lastname: Rix
authors.affiliation: Hepatobiliary and Transplant Surgery, Institute of Transplantation, Freeman Hospital, Newcastle Upon Tyne, UK.
authors.forename: D
authors.initials: D
authors.lastname: Talbot
keywords: Renal artery aneurysm; ex vivo repair; living-related kidney transplantation