A sixty-three-year-old man was found to have a 6.5 cm abdominal aortic aneurysm on routine follow-up six months after renal transplantation. Renal function did not deteriorate over the operative period. In such circumstances, the operation should be designed to minimize the period of renal ischemia, but specific techniques to maintain normotensive renal perfusion are not required.
Get full access to this article
View all access options for this article.
References
1.
Lindner A., Charra B., Sherrard DJ, et al: Accelerated atherosclerosis in prolonged maintenance hemodialysis . N Engl J Med290:697-707, 1974.
2.
Campbell Jr DA, Lorber MI, Arneson WA, et al: Renal transplant protection during abdominal aortic aneurysmechtomy with a lump oxygenator. Surgery90:559-562, 1981.
3.
Nghiem DD, Lee HM: In situ hypothermic preservation of a renal allo-graft during resection of abdominal aortic aneurysm. Ann Surg48:237-238, 1982.
4.
O'Mara CS, Flinn WR, Bergan JJ, et al: Use of a temporary shunt for renal transplant protection during aortic aneurysm repair. Surgery94:512-515, 1983.
5.
Sterioff S., Parles L.: Temporary vascular bypass for perfusion of a renal transplant during abdominal aneurysmectomy. Surgery82:558-560, 1977.
6.
Nussaume O., Couffinhal JC, Moulonguet-Doleris L.: Cure d'un anevrysme de l'aorte abdominale en amont d'un rein transplante. Presse Med12:1537-1539, 1983.
7.
Crawford ES, Schuessler JS: Thoracoabdominal and abdominal aortic aneurysms involving celia, superior mesenteric and renal arteries. World J Surg4:643-652, 1980.
8.
Morris GG Jr, Heider CF, Moyer JH: The protective effect of subfiltration arterial pressure on the kidney. Surg Forum6:623-624, 1956.
9.
Lacombe M.: Abdominal aortic aneurysmectomy in renal transplant patients. Ann Surg203:62-68, 1986.
10.
Harris JP, May J.: Successful aortic surgery after renal transplantation without protection of the transplanted kidney. J Vasc Surg5:457-461, 1987.
