[Simultaneous aortic prosthesis implantation and renal transplantation]

A 44 year old man with end-stage renal failure from nephro-angiosclerosis and with an abdominal aortic aneurysm involving also the common iliac arteries simultaneously underwent an abdominal aneurysmectomy using a standard Dacron graft and a living related renal transplantation. An original technic was used in order to prevent an anastomotic stenosis of the artery: the donor's renal artery was sutured end- to side on the Dacron prosthesis via a venous patch from the donor's renal vein. The post-operative course was uncomplicated; one year after the operation, the renal function is excellent (creatine: 1.6 mg/dl) and the blood pressure is normal.