Resection of the abdominal aorta aneurysm in a patient with a transplanted kidney
https://doi.org/10.23873/2074-0506-2017-9-2-108-112
Abstract
The number of kidney transplants in patients with end-stage chronic renal disease is annually increasing all over the world. But the incidence of abdominal aorta aneurysm in patients with allografted kidney can be assessed from very few published reports. D.C.Cron et al revealed 29 cases of aorta aneurysm among 2133 patients who underwent kidney transplantation, thus the incidence making 1.35%. Surgery for abdominal aorta aneurysm in this patient population still remains a rarity in the practice of a vascular surgeon and so puts a number of fundamental questions for us that do not have ready-published answers. In heterotopic transplantation, the kidney ischemia during aortic cross-clamping is a crucial aspect in the treatment of this patient population, and if underestimated, it can potentially lead to the graft loss. A number of authors do not consider an additional protection of the kidney to be obligatory during the aortic crossclamping, and they believe the surgery can be performed safely for the graft by using a quick suture of the prosthesis. Below we present our clinical case report of the infra-renal aorta aneurysm resection without a graft protection in a patient after heterotopic kidney transplantation.
About the Authors
A. E. Zotikov
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
Professor, Dr. Med Sci., Leading Researcher of the Vascular Surgery Department at A.V. Vishnevsky Institute of Surgery, Moscow, Russia
Z. A. Adyrkhaev
A.V. Vishnevsky Institute of Surgery
Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
A. S. Ivandaev
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
A. V. Kozhanova
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
V. V. Kazennov
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
I. E. Timina
A.V. Vishnevsky Institute of Surgery
I.M. Sechenov First Moscow State Medical University
Russian Federation
Russian Federation
A. V. Sharshatkin
Federal Clinical Center for High Medical Technologies of FMBA of Russia
Russian Federation
Russian Federation
A. V. Pokrovskiy
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
References
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Review
For citations:
Zotikov A.E., Adyrkhaev Z.A., Ivandaev A.S., Kozhanova A.V., Kazennov V.V., Timina I.E., Sharshatkin A.V., Pokrovskiy A.V. Resection of the abdominal aorta aneurysm in a patient with a transplanted kidney. Transplantologiya. The Russian Journal of Transplantation. 2017;9(2):108-112. https://doi.org/10.23873/2074-0506-2017-9-2-108-112
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