Renal Transplantation with Simultaneous Aortoiliac Reconstruction Using a Polytetrafluoroethylene Vascular Graft for Severe Atherosclerosis

Case Reports in Transplantation
Go AnanTakashi Yagisawa

Abstract

Studies on aortoiliac reconstruction for severe atherosclerosis with renal transplantation are limited. Here, we report a rare experience of the simultaneous reconstruction of the external iliac artery caused by severe atherosclerosis with polytetrafluoroethylene vascular graft and renal transplantation in a 55-year-old female; she was unable to undergo standard renal artery anastomosis to the right external iliac artery because of severe atherosclerosis, which would result in complete occlusion. Next, we directly anastomosed the donor renal artery to the polytetrafluoroethylene graft. After transplantation, delayed graft function occurred; therefore, the patient had to undergo hemodialysis. On day 7 after transplantation, her creatine level started to decrease. She was discharged from the hospital on the 14th day after transplantation. After 1 month, her serum creatinine level reduced to 1.12 mg/dL. After 3 years of transplantation, her serum creatinine level was 1.2 mg/dL. The simultaneous implantation of the polytetrafluoroethylene graft and renal transplantation was feasible as well as safe, with no infectious complications and stable renal function noted on long time follow-up. Although our case was rare, it emphasizes the...Continue Reading

References

Jan 1, 1991·Annals of Vascular Surgery·P GounyO Nussaume
Mar 17, 2007·Transplantation Proceedings·A OzçelikC E Broelsch
Dec 11, 2007·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·I MatiaO Viklicky
Mar 21, 2009·Clinical Transplantation·Matvey TsivianAlessandro Faenza
Apr 23, 2013·World Journal of Surgery·Damiano PatronoMichel Mourad

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Citations

Nov 16, 2019·Transplant International : Official Journal of the European Society for Organ Transplantation·Mario SpaggiariIvo Tzvetanov

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