title: Successful Implantation of a Renal Allograft With Quintuple Arteries Retrieved From a Living Donor.
abstract: In renal transplant, multiple renal arteries in a donor require meticulous vascular reconstruction for successful allograft function in the recipient. Presence of more than 4 renal arteries is usually considered to be a relative contraindication for proceeding with renal donation. We report a living-donor renal transplant procedure where preoperative radiologic imaging of the donor showed 3 left renal arteries. Two additional arteries were identified intraoperatively. All 5 arteries were reconstructed during the back-table procedure, and the allograft was implanted in the recipient. At 3-month follow-up, computed tomographic imaging demonstrated patency of all 5 renal arteries, and the patient had a serum creatinine level of 0.8 mg/dL. Unidentified arteries on preoperative imaging may occasionally require complex reconstruction. A renal allograft with 5 renal arteries is usually a contraindication for renal donation. Here, we describe the first published case of successful kidney transplant after reconstruction of 5 renal arteries in the donor graft.
authors.affiliation: From the Department of Renal Transplant Surgery, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh, India.
authors.forename: Sunil
authors.initials: S
authors.lastname: Kumar
authors.forename: Nikhil
authors.initials: N
authors.lastname: Mahajan
authors.forename: Soham
authors.initials: S
authors.lastname: Dasgupta
authors.forename: Shivakumar Shankarrao
authors.initials: SS
authors.lastname: Patil
authors.forename: Sarbpreet
authors.initials: S
authors.lastname: Singh
authors.forename: Deepesh Benjamin
authors.initials: DB
authors.lastname: Kenwar
authors.forename: Manphool
authors.initials: M
authors.lastname: Singhal
authors.forename: Ashish
authors.initials: A
authors.lastname: Sharma
authors.forename: Anupam
authors.initials: A
authors.lastname: Lal
authors.forename: Mukut
authors.initials: M
authors.lastname: Minz
mesh_terms: D000072226:Computed Tomography Angiography; D005220:Fathers; D006801:Humans; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D016030:Kidney Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D012077:Renal Artery / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000637:transplantation*; D013997:Time Factors; D016896:Treatment Outcome; D014654:Vascular Patency; D055815:Young Adult