Circulatory arrest to protect transplant kidney in a patient with chronic type III dissection.

Abstract

With broader indications for renal transplantation and improved allograft survival, it is anticipated that the problem of aortic disease in the post-transplant patient will be encountered with increasing frequency. We report a technique of protecting the transplant kidney from ischemic damage during distal aortic surgery. A 30-year-old renal transplant patient who had undergone an operation for ruptured chronic type III dissection 3 years previously underwent abdominal aortic aneurysm repair under hypothermic circulatory arrest. The patient recovered uneventfully and is presently doing well 1 year after the operation. Hypothermic circulatory arrest could be used in selected cases as a useful alternative for transplant kidney protection.

• Authors: T Yağdi, S Büket, Y Tokat, H Posacioglu, F Aşkar, F Akar
• Journal: Annals of vascular surgery (Ann Vasc Surg) Vol. 15 Issue 5 Pg. 575-7 (Sep 2001) ISSN: 0890-5096 [Print] Netherlands
• PMID: 11665445 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Aortic Dissection (complications, physiopathology, surgery)
• Aortic Aneurysm, Abdominal (complications, physiopathology, surgery)
• Aortic Rupture (complications, physiopathology, surgery)
• Chronic Disease
• Heart Arrest, Induced
• Humans
• Hypothermia (etiology)
• Ischemia (etiology, prevention & control)
• Kidney (blood supply)
• Kidney Transplantation
• Male