Successful renal transplantation after intimal dissection of the renal artery secondary to trauma.
| Autor: | Novotny AR; Department of Surgery, Klinikum rechts der Isar, Technische Universität München, Ismaningerstrasse 22, 81675 Münich, Germany. anovotny@lycos.de, Brauer RB, Brandl R, Gerauer KE, Stangl MJ |
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| Jazyk: | angličtina |
| Zdroj: | Transplantation [Transplantation] 2003 Apr 15; Vol. 75 (7), pp. 1077-9. |
| DOI: | 10.1097/01.TP.0000058468.94019.26 |
| Abstrakt: | Background: Organ shortage increasingly forces surgeons to consider the use of marginal organs. Methods: The authors report a case in which a kidney with traumatic dissection of the renal artery and marginal perfusion by means of collaterals was successfully transplanted into a 63-year-old patient. A computed tomographic scan of the donor showed a marginally perfused left kidney, suggestive of renal artery dissection. After surgical reconstruction of the renal artery, transplantation followed the usual course. Results: The organ started clearing shortly after the operation and was homogeneously perfused in a postoperative scan. Creatinine and blood urea nitrogen levels dropped to normal values within a couple of days after the transplantation. During 1 year of follow-up, organ function was always excellent and retention parameters were within the normal range. Conclusions: This case illustrates that marginally perfused kidneys can be successfully used for transplantation in certain cases. |
| Databáze: | MEDLINE |
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