Surgery for aortoiliac aneurysms in kidney transplant recipients

Details

Serval ID
serval:BIB_A09F278A0151
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Surgery for aortoiliac aneurysms in kidney transplant recipients
Journal
Journal of Cardiovascular Surgery
Author(s)
Reber  P. U., Vogt  B., Steinke  T. M., Patel  A. G., Kniemeyer  H. W.
ISSN
0021-9509 (Print)
Publication state
Published
Issued date
12/2000
Volume
41
Number
6
Pages
919-25
Notes
Case Reports
Journal Article
Review --- Old month value: Dec
Abstract
With the increase of long-term survivors following renal transplantation, aorto-iliac aneurysms requiring surgical management may be encountered more often. Our experience with temporary shunts for renal transplant protection during aorto-iliac aneurysm repair is presented along with a literature review of all cases on the subject. Three male patients with a median age of 56 (range 50-61) years were operated on for a dissecting aneurysm of the common iliac artery in one, respectively abdominal aortic aneurysm in the two remaining patients. All patients had impaired transplant function preoperatively with a median serum creatinine level of 167 (range 134-202) micromol/L and a median blood urea nitrogen concentration of 15 (range 9-23) pmol/L. The intra- and postoperative course was uneventful in all patients. Median postoperative serum creatinine level and blood urea nitrogen concentration were 135 (range 123-151) micromol/L and 10 (range 9-11) pmol/L, respectively. Aorto-iliac surgery in renal transplant recipients can be performed without transplant protection. However, in patients with a deteriorated transplant function or if a prolonged aortic cross-clamp time is anticipated, renal allograft protection measures may be beneficial to prevent possible ischemic damage.
Keywords
Aortic Aneurysm, Abdominal/complications/radiography/*surgery Blood Vessel Prosthesis Implantation/*methods Graft Survival Humans Iliac Aneurysm/complications/radiography/*surgery Kidney Failure/complications/*surgery *Kidney Transplantation Magnetic Resonance Angiography Male Middle Aged Risk Factors
Pubmed
Web of science
Create date
25/01/2008 13:03
Last modification date
20/08/2019 15:06
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