[Simultaneous aortic prosthesis implantation and renal transplantation]

Area of Science:

• Vascular Surgery
• Nephrology
• Transplantation Surgery

Background:

• End-stage renal failure due to nephroangiosclerosis presents significant challenges.
• Abdominal aortic aneurysms involving iliac arteries require complex surgical management.
• Simultaneous repair and transplantation necessitate innovative techniques to ensure graft patency.

Observation:

• A 44-year-old male patient with end-stage renal failure and an abdominal aortic aneurysm underwent simultaneous abdominal aneurysmectomy and living related renal transplantation.
• A novel technique involved suturing the donor renal artery end-to-side onto a Dacron prosthesis using a venous patch from the donor renal vein.
• This approach aimed to prevent anastomotic stenosis, a common complication.

Findings:

• The patient experienced an uncomplicated post-operative course.
• One year after surgery, renal function was excellent, indicated by a creatinine level of 1.6 mg/dl.
• The patient maintained normal blood pressure without antihypertensive medication.

Implications:

• This surgical strategy offers a viable solution for patients with combined aortic and renal disease.
• The described technique demonstrates a promising method for preventing vascular anastomotic complications in complex combined procedures.
• Successful long-term outcomes suggest potential for broader application in similar complex surgical cases.