Abdominal Aortic Aneurysm Repair in Patient with a Renal Allograft: A Case Report.
10.3346/jkms.2009.24.1.166
- Author:
Hyung Kee KIM
1
;
Jong Pil RYUK
;
Hyang Hee CHOI
;
Sang Hwy KWON
;
Seung HUH
Author Information
1. Division of Transplantation and Vascular Surgery, Department of Surgery, Kyungpook National University Hospital, Daegu, Korea. shuh@mail.knu.ac.kr
- Publication Type:Case Report
- Keywords:
Aortic Aneurysm, Abdominal;
Renal Allograft, Temporary Shunt
- MeSH:
Adult;
Aortic Aneurysm, Abdominal/diagnosis/pathology/*surgery;
Blood Vessel Prosthesis Implantation/methods;
Graft Survival;
Humans;
Kidney/blood supply;
*Kidney Transplantation;
Male;
Reperfusion Injury/prevention & control;
Tomography, X-Ray Computed;
Transplantation, Homologous
- From:Journal of Korean Medical Science
2009;24(1):166-169
- CountryRepublic of Korea
- Language:English
-
Abstract:
Renal transplant recipients requiring aortic reconstruction due to abdominal aortic aneurysm (AAA) pose a unique clinical problem. The concern during surgery is causing ischemic injury to the renal allograft. A variety of strategies for protection of the renal allograft during AAA intervention have been described including a temporary shunt, cold renal perfusion, extracorporeal bypass, general hypothermia, and endovascular stent-grafting. In addition, some investigators have reported no remarkable complications of the renal allograft without any specific measures. We treated a case of AAA in a patient with a renal allograft using a temporary aortofemoral shunt with good result. Since this technique is safe and effective, it should be considered in similar patients with AAA and previously placed renal allografts.
