Clinical importance of congenital anomalies of the inferior vena cava in organ procurement surgery from a deceased donor: two case reports.
10.4174/astr.2016.91.5.260
- Author:
Mi Hyeong KIM
1
;
Kang Woong JUN
;
In Sung MOON
;
Ji Il KIM
Author Information
1. Division of Vascular and Transplantation Surgery, Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. cmckji@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Kidney transplantation;
Tissue and organ procurement;
Intraoperative complications;
Anatomic variation;
Inferior vena cava
- MeSH:
Anatomic Variation;
Aorta;
Drainage;
Hemorrhage;
Humans;
Intraoperative Complications;
Kidney Transplantation;
Living Donors;
Perfusion;
Renal Veins;
Surgeons;
Tissue and Organ Procurement*;
Tissue Donors*;
Transplants;
Vena Cava, Inferior*
- From:Annals of Surgical Treatment and Research
2016;91(5):260-264
- CountryRepublic of Korea
- Language:English
-
Abstract:
Congenital anomalies of the inferior vena cava (IVC) are rare but important problems in living donors for kidney transplantation, especially in cases of a short left renal vein and accompanying vascular and urological anatomic variations. However, the clinical impacts of IVC anomalies in deceased donors have yet to be reported. The unexpected presence of an IVC in an unusual position poses challenges to surgeons and increases the risk of bleeding during organ removal. Accompanying vascular variations can cause unexpected bleeding and injury and therefore technical complications in procurement and subsequent implantation. During cold perfusion, inadequate venous drainage or insufficient cooling can induce graft damage. Our cases highlight the need for all transplant surgeons to confirm the anatomy of the aorta, IVC, and major vessels early in the surgical procedure and, should an anomaly be detected, know how to manage the problem.
