Fibromuscular dysplasia (FMD) of the donor renal artery may be encountered by transplant surgeons during kidney transplantation. Renal artery reconstruction prior to transplantation is indicated to reduce the risk of renovascular hypertension and ischemic nephropathy. The authors report a patient who underwent living donor (LD) transplantation of a kidney with FMD, where the artery was reconstructed with an internal iliac artery interposition graft harvested from the recipient. They conclude that this is a safe procedure that results in a satisfactory outcome. Additionally, there may be a reduced risk of progressive renovascular hypertension in the donor by eliminating FMD.
Get full access to this article
View all access options for this article.
References
1.
1. Youngberg SP, Sheps SG, Strong CG: Fibromuscular disease of the renal arteries. Med Clin North Am61:623-623, 1977.
2.
2. Nghiem DD, Schulak JA, Bonsib SM, et al: Fibromuscular dysplasia: An unusual cause of hypertension in the transplant recipient. Trans Proc16:555-555, 1984.
3.
3. Linder R, Billing H, Tibell A, et al: Transplantation of kidneys with fibromuscular dysplasia. Trans Proc22:398-398, 1990.
4.
4. Murray SP, Kent KC, Salvatierra O, et al: Complex branch renovascular disease: Management options and late results. J Vasc Surg20:338-338, 1994.
