Sarralde Aurelio, Perez-Negueruela Carolina, Bernal José M
Tex Heart Inst J. 2015 Feb 1;42(1):61-2. doi: 10.14503/THIJ-13-3724. eCollection 2015 Feb.
An ultrasonographic study in a 60-year-old man incidentally detected an iliac artery aneurysm that gave rise to the renal artery of a single ectopic pelvic kidney. Renal-preservation solution could not be used during surgery, because the unclamped renal vein would have enabled the solution to enter the systemic circulation. Therefore, cold saline solution was infused through the renal ostium, and the kidney was maintained under cold saline immersion. We performed aortoiliac bypass and then implanted the renal artery into the bypass graft. Postoperatively, the patient's serum creatinine level increased; after one year, his renal function was normal. We discuss our use of cold saline solution for renal preservation.
一项针对一名60岁男性的超声检查偶然发现了一个髂动脉瘤，该动脉瘤发出一支血管供应单个盆腔异位肾的肾动脉。手术过程中无法使用肾脏保存液，因为未夹闭的肾静脉会使保存液进入体循环。因此，通过肾门注入冷盐溶液，并将肾脏置于冷盐溶液浸泡中。我们进行了主动脉髂动脉搭桥术，然后将肾动脉植入搭桥移植物。术后，患者的血清肌酐水平升高；一年后，他的肾功能恢复正常。我们讨论了使用冷盐溶液进行肾脏保存的情况。
