Endovascular Abdominal Aortic Aneurysm Repair in a Kidney Transplant Patient After an Iatrogenic Iliac Artery Dissection

A 64-year-old man who had undergone a renal transplant 9 years earlier, was admitted to our hospital because of an asymptomatic, large, abdominal aortic aneurysm. During an introduction of a guide wire to the left common femoral artery dissection of iliac artery occurred with occlusion of graft renal artery. And endarterectomy of the common, external, and internal iliac arteries was performed, with no sufficient kidney inflow. A bypass was performed between the common iliac and the left common femoral artery with a kidney artery reanastomosis to the prosthesis. After 4 months of endovascular treatment of the aortic aneurysm, the patient's renal function remained unchanged.