Japanese Journal of Cardiovascular Surgery Vol47,No5

A Case of Saved Transplanted Kidney by Axillo-Common Iliac Perfusion for Replacement of Ruptured Abdominal Aortic Aneurysm
Katsuya Kawagoe* Eisaku Nakamura* Koji Furukawa*
Mitsuhiro Yano* Kunihide Nakamura**

(Department of Cardiovascular Surgery, Miyazaki Medical Association Hospital*, Miyazaki, Japan, and Department of Cardiovascular Surgery, Miyazaki University Hospital**, Miyazaki, Japan)

A 58-year-old man underwent renal transplantation 26 years previously and had been treated with immunosuppressive drugs. He presented at the local hospital with backache symptoms during the waiting period prior to repair of an abdominal aortic aneurysm. Computed tomography revealed a retroperitoneal hematoma around the abdominal aortic aneurysm. He was admitted to our hospital and emergency straight graft replacement was performed. After clamping of the aorta, we performed axillo-common iliac perfusion to protect the transplanted kidney. The patient recovered without transplanted kidney dysfunction.

 

Jpn. J. Cardiovasc. Surg. 47:252-255(2018)

Keywords:ruptured abdominal aortic aneurysm;renal transplantation;axillo-common iliac perfusion


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