Muramatsu Masaki, Shishido Seiichiro, Takahashi Yusuke, Hamasaki Yuko, Yoshimura Hiroshi, Nihei Hiroshi, Itabashi Yoshihiro, Kawamura Takeshi, Aikawa Atsushi
Department of Nephrology, Toho University Faculty of Medicine, Tokyo, Japan.
Department of Pediatric Nephrology, Toho University Faculty of Medicine, Tokyo, Japan.
Int J Urol. 2017 May;24(5):396-398. doi: 10.1111/iju.13322. Epub 2017 Mar 19.
A girl aged 11 years and 3 months with occlusion of the inferior vena cava had experienced two renal transplant graft failures since birth. The third renal transplant from a live donor was carried out. Preoperative evaluation showed that the arteries from the right common to the right external iliac artery were absent, and the ilio-caval vein was occluded below the level of the renal vein. The donor's renal artery was anastomosed to the aorta. The donor's ovarian and large saphenous veins were used to extend the transplant renal vein to the recipient's patent inferior vena cava. The present report concludes that the extension of a short donor renal vein using other donor veins is a viable therapeutic option for pediatric patients with vascular occlusions.
一名11岁3个月大的女孩，下腔静脉闭塞，自出生以来经历了两次肾移植失败。进行了第三次来自活体供体的肾移植。术前评估显示，从右总动脉到右髂外动脉的动脉缺失，髂腔静脉在肾静脉水平以下闭塞。供体的肾动脉与主动脉吻合。供体的卵巢静脉和大隐静脉被用来将移植肾静脉延伸至受体通畅的下腔静脉。本报告得出结论，对于有血管闭塞的儿科患者，使用其他供体静脉延长供体肾静脉较短的部分是一种可行的治疗选择。
