Cerilli J, Evans W E, Vaccaro P S
Arch Surg. 1977 Oct;112(10):1218-9. doi: 10.1001/archsurg.1977.01370100072014.
At the time of related donor renal transplantation, a 49-year-old man with chronic glomerulinephritis was found to have a large fusiform aneurysm involving the internal and external iliac arteries, the abdominal aorta, and both common iliac arteries. Transplantation and abdominal aneurysmectomy using a standard Dacron bifurcation graft were successfully carried out. This patient has had no associated complications and is currently five years after transplantation and aneurysmectomy, with excellent renal function. It is believed that transplantation may now be offered to an older age group of patients with end-stage renal disease in whom atherosclerosis wll have developed as a natural process of aging.
在进行亲属供肾肾移植时,一名患有慢性肾小球肾炎的49岁男性被发现患有一个巨大的梭形动脉瘤,累及髂内、外动脉、腹主动脉和双侧髂总动脉。使用标准的涤纶分叉移植物成功进行了移植和腹主动脉瘤切除术。该患者没有出现相关并发症,目前处于移植和动脉瘤切除术后五年,肾功能良好。据信,现在可以为患有终末期肾病的老年患者提供移植,这些患者的动脉粥样硬化是衰老的自然过程。