Muñoz-Vigna Rogerio A, Anaya-Ayala Javier E, Ramirez-Robles Juan N, Nuño-Diaz Daniel, Olivares-Cruz Sandra
1 Department of Vascular Surgery, Hospital General de México "Dr Eduardo Liceaga," Colonia Doctores, Mexico City, Mexico.
2 Section of Vascular Surgery and Endovascular Therapy, Department of Surgery, Instituto Nacional de Ciencias Medicas y Nutrición, Mexico City, Mexico.
Vasc Endovascular Surg. 2018 Aug;52(6):455-458. doi: 10.1177/1538574418770104. Epub 2018 Apr 22.
The use of kidney grafts with aneurysmal disease involving the renal arteries for transplantation is very uncommon and relatively controversial. We herein present the case of a 52-year-old woman who volunteered to become a living-nonrelated donor; during the preoperative imaging workup, a computed tomography angiography revealed a 1.5-cm saccular aneurysm in the left kidney, while the contralateral renal artery was normal. We decided to utilize the left kidney for a 25-year-old male patient with end-stage renal disease, and following the ex vivo repair using the recipient epigastric vessels and saphenous veins, we completed the transplantation in the right pelvic fossa. The postoperative period was uneventful, and at 8 months from the surgery, the graft remains functional. The surgical repair of renal artery aneurysms followed by immediate kidney transplantation is a safe technique and an effective replacement therapy for recipients. The incidental finding of isolated aneurysmal disease in renal arteries should not exclude graft potential availability for transplantation following repair.
使用患有累及肾动脉的动脉瘤疾病的肾移植进行移植非常罕见且颇具争议。我们在此报告一例52岁女性自愿成为非亲属活体供体的病例；在术前影像学检查中，计算机断层血管造影显示左肾有一个1.5厘米的囊状动脉瘤，而对侧肾动脉正常。我们决定将左肾用于一名25岁终末期肾病男性患者，在使用受者腹壁血管和大隐静脉进行体外修复后，我们在右盆腔完成了移植。术后过程顺利，术后8个月移植肾仍功能良好。肾动脉动脉瘤手术修复后立即进行肾移植是一种安全的技术，对受者来说是一种有效的替代治疗方法。肾动脉孤立性动脉瘤疾病的偶然发现不应排除修复后移植肾潜在的可用性。
