Ex-Vivo Repair of Complex Hilar Renal Artery Aneurysms and Auto-Transplantation of Solitary Kidney

被引：0

作者：

Zhao, Kai ^{[1
]}

Obayemi, Joy ^{[2
,6
]}

Lim, Mary Ann C. ^{[3
]}

Wang, Grace ^{[4
]}

Naji, Ali ^{[5
]}

机构：

[1] Univ Hosp Cleveland Med Ctr, Div Transplant & Hepatobiliary Surg, Cleveland, OH USA

[2] Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA

[3] Hosp Univ Penn, Renal Div, 3400 Spruce St, Philadelphia, PA 19104 USA

[4] Hosp Univ Penn, Div Vasc Surg, 3400 Spruce St, Philadelphia, PA 19104 USA

[5] Hosp Univ Penn, Div Transplant Surg, 3400 Spruce St, Philadelphia, PA 19104 USA

[6] Univ Michigan, Dept Surg, 1500 Med Ctr Dr, Ann Arbor, MI 48109 USA

来源：

ANNALS OF VASCULAR SURGERY | 2021年 / 74卷

关键词：

RECONSTRUCTION; MANAGEMENT;

D O I：

10.1016/j.avsg.2021.01.122

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Renal artery aneurysms (RAA) are rare and challenging to repair. We present a case of a 48year-old female with solitary right kidney who had complex aneurysms near the renal hilum. CT angiogram showed fibromuscular dysplasia (FMD) features of the renal artery and 2 saccular aneurysms measuring 2.3 cm and 1 cm. An additional small lower pole renal artery added to the complexity of the case. Ex-vivo aneurysm repair was performed after the kidney was removed and flushed with preservation solution. This was followed by auto-transplantation to the right external iliac vessels. The patient did well postoperatively without need for dialysis with serum creatinine returning to normal 5 weeks after.

引用

页码：523.e9 / 523.e13

页数：5

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