Jung Cheol Woong, Park Kwan Tae, Kim Myung Gyu
Department of Surgery, Division of Transplantation, Korea University College of Medicine, Seoul, Korea.
Exp Clin Transplant. 2013 Aug;11(4):324-6. doi: 10.6002/ect.2013.0023.
Renal artery aneurysms are uncommon, and various surgical options to treat renal artery aneurysms have been described. We report 2 cases of renal transplants from donors with renal artery aneurysm, after resection of aneurysm, and ex vivo renal artery reconstruction.
Two women, aged 52 and 45 years, had diagnoses of hilar renal artery aneurysms during evaluation for left flank pain and hematuria. In both cases, radiologic interventions were impossible because of anatomical relations. Both patients were informed of the therapeutic options available, including nephrectomy, autotransplant, and kidney donation. The patients and their families decided on a kidney donation.
Renal function test results of both patients satisfied the living-donor selection criteria. The left and right kidney of each patient was removed laparoscopically, and ex vivo resection of the aneurysm and reconstruction of the renal artery was performed under a surgical microscope. The repaired kidneys were successfully transplanted to 2 men, aged 36 and 37 years.
In cases of renal artery aneurysms that necessitate treatment, a renal allograft transplant should be considered as a treatment option. It provides safety and benefit to the recipient as well the donor.
肾动脉动脉瘤并不常见，已有多种治疗肾动脉动脉瘤的手术方式被描述。我们报告2例来自患有肾动脉动脉瘤供体的肾移植病例，动脉瘤切除后，进行体外肾动脉重建。
两名女性，年龄分别为52岁和45岁，在因左侧腰痛和血尿进行评估期间被诊断为肾门肾动脉动脉瘤。在这两例病例中，由于解剖关系无法进行放射学干预。两名患者均被告知可用的治疗选择，包括肾切除术、自体移植和肾脏捐献。患者及其家属决定进行肾脏捐献。
两名患者的肾功能测试结果均符合活体供体选择标准。分别通过腹腔镜切除每名患者的左肾和右肾，并在手术显微镜下进行动脉瘤的体外切除和肾动脉重建。修复后的肾脏成功移植给了两名男性，年龄分别为36岁和37岁。
在需要治疗的肾动脉动脉瘤病例中，应考虑将同种异体肾移植作为一种治疗选择。它对受体和供体都提供了安全性和益处。
