Successful Repair of a Pseudoaneurysm of Renal Allograft Artery

Aneurysm of renal artery is a rare vascular complication after renal transplantation. A 60 years man showed an aneurysm of the renal artery in the transplanted kidney was an incidental finding on routine abdominal ultrasound. The function of the allograft was stable. A magnetic resonance angiogram confirmed the diagnosis. Considering a very high risk of rupture due to its size (6.0 x 4.9 x 4.7 cm), and the organ being his only functional kidney, it was decided to perform an open surgical repair. Midline laparotomy was performed, allograft was mobilised, the aneurysm was resected and dacron patch arterioplasty was done. The patient had an uneventful recovery and his renal function returned to pre-operative levels by the fifth postoperative day. The patient was discharged home with regular monthly follow-up for 6 months.