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Kidney Transplant From a Deceased Donor With Renal Artery Aneurysm: A Case Report
Alireza Shamsaeefar1, Saman Nikeghbalian, Kourosh Kazemi
1From Shiraz Organ Transplant Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Abstract:
The use of marginal kidneys or kidneys with pathologic problems (such as renal artery aneurysms in a living or deceased donor) is on the rise due to organ shortages and improvements in surgical techniques. When renal vascular abnormalities are detected during a transplant, it puts the surgeon in a difficult position to decide what to do with the organ. In this study, we report a case of a kidney from a deceased donor who had 2 renal artery saccular aneurysms, which we were able to use for transplant. The recipient was a 61-year-old male patient with diabetic nephropathy and significant comorbidities. Kidney transplant was performed successfully with a good outcome. Recent advancements in surgical techniques have allowed the use of kidneys with renal artery aneurysms for kidney transplant, thus helping to overcome shortages of transplantable organs.
Insights
Marginal kidneys with renal artery aneurysms can now be transplanted successfully. This case report highlights the successful use of a deceased donor kidney with two aneurysms, aiding organ transplant efforts.
Area of Science:
- Nephrology
- Transplant Surgery
- Vascular Surgery
Background:
- Organ shortages are increasing the use of marginal kidneys for transplantation.
- Renal vascular abnormalities, such as renal artery aneurysms, pose challenges in donor kidney selection.
- Advancements in surgical techniques are crucial for utilizing compromised organs.
Observation:
- A deceased donor kidney with two saccular renal artery aneurysms was identified.
- The recipient was a 61-year-old male with diabetic nephropathy and comorbidities.
- The kidney was deemed suitable for transplantation despite the vascular abnormalities.
Findings:
- Kidney transplant using the donor kidney with renal artery aneurysms was performed successfully.
- The surgical procedure resulted in a positive outcome for the recipient.
- This demonstrates the feasibility of transplanting kidneys with pre-existing vascular pathologies.
Implications:
- Utilizing kidneys with renal artery aneurysms can help alleviate organ shortages.
- Improved surgical techniques expand the pool of transplantable organs.
- This approach offers hope for patients awaiting kidney transplants.