Successful living donor kidney transplantation following ex vivo repair of renal artery aneurysm

被引：0

作者：

Arreola-Ramirez, Daniel Alejandro ^{[1
]}

Hurtado-Gomez, Sahara ^{[2
]}

Anceno, Alec ^{[3
]}

Varela-Gomez, Fernando Fernandez ^{[3
]}

Guzman-Martinez, Nancy Berenice ^{[4
]}

Armenta-Alvarez, Hirepan ^{[5
]}

Contreras-Saldivar, Alan Gabriel ^{[6
]}

机构：

[1] Hosp Med Sur, Dept Urol, Off 610,Tower 2,Puente Piedra 150, Mexico City 140550, Mexico

[2] Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Transplantat, Mexico City, Mexico

[3] Univ Nacl Autonoma Mexico, Fac Med, Mexico City, Mexico

[4] Ctr Med ABC Observ, Dept Diagnost & Therapeut Imaging, Mexico City, Mexico

[5] Ctr Med Lic Adolfo Lopez Mateos ISEM, Dept Urol, Toluca, State Of Mexico, Mexico

[6] Ctr Med ABC Observ, Dept Surg, Mexico City, Mexico

来源：

UROLOGY CASE REPORTS | 2025年 / 61卷

关键词：

Renal-artery aneurysm; Living-donor kidney transplantation; Ex vivo vascular reconstruction; ePTFE graft; MANAGEMENT; GRAFTS;

D O I：

10.1016/j.eucr.2025.103076

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Renal-artery aneurysms (RAA), rare vascular lesions (approximate to 0.1 % prevalence), may be detected during living-donor evaluations. We report a successful right kidney transplant from a 33-year-old woman with an 11 x 13 mm saccular RAA at the first bifurcation, detected by CT angiography. Following hand-assisted laparoscopic nephrectomy, ex vivo repair involved aneurysm excision and reconstruction with a 6-mm heparin-bonded ePTFE graft. Cold ischemia was 110 min; implantation into the 69-year-old recipient was uneventful. Immediate postoperative diuresis occurred; discharge creatinine was 1.2 mg/dL. At 18 months, both remain asymptomatic with stable renal function and normotension.

引用

页数：3

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