Wolters Heiner H, Reimer Peter, Senninger Norbert, Pelster Friedrich W, Dietl Karl-Heinz
Department of General Surgery, University Hospital Münster, Münster, Germany.
Ann Vasc Surg. 2002 Mar;16(2):225-7. doi: 10.1007/s10016-001-0164-y. Epub 2002 Feb 20.
The necessity of operative treatment of abdominal aortic aneurysm (AAA) is reported in an increasing number of patients after renal transplantation as a result of improved renal graft long-term survival. In these patients, aortic surgery however, places the allograft at risk for ischemic damage. We present a first case of AAA stenting in a kidney-grafted patient. This procedure helped us avoid ischemia of the graft, which showed excellent function pre- and postoperatively. The patient had an uneventful recovery with no evidence of renal dysfunction and was discharged in good condition 7 days after stenting. This case demonstrates a useful alternative for the repair of AAA in kidney-grafted patients.
随着肾移植长期存活的改善，越来越多的肾移植患者需要接受腹主动脉瘤（AAA）的手术治疗。然而，在这些患者中，主动脉手术会使移植肾有发生缺血性损伤的风险。我们报告了首例肾移植患者行AAA支架置入术的病例。该手术帮助我们避免了移植肾的缺血，移植肾术前和术后功能均良好。患者恢复顺利，无肾功能障碍迹象，支架置入术后7天情况良好出院。该病例表明，肾移植患者AAA修复有了一种有用的替代方法。
