Simultaneous Orthotopic Liver and Kidney Transplant with Repair of Abdominal Aortic Aneurysm: Operative Timing
| Autor: | Tomasz Jarzembowski, James J. Schuler, Giuliano Testa, Fabrizio Panaro, Diego Bogetti, Henry Baraniewski, Enrico Benedetti |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
medicine.medical_specialty macromolecular substances Aneurysm medicine Humans Immunology and Allergy Pharmacology (medical) cardiovascular diseases Kidney transplantation Transplantation Kidney business.industry Patient affected Liver and kidney medicine.disease Kidney Transplantation Cadaver donor Abdominal aortic aneurysm Liver Transplantation Surgery medicine.anatomical_structure cardiovascular system Female Tomography X-Ray Computed business Aortic Aneurysm Abdominal |
| Zdroj: | American Journal of Transplantation. 3:1036-1039 |
| ISSN: | 1600-6135 |
| DOI: | 10.1034/j.1600-6143.2003.00162.x |
| Popis: | In the case of coexisting abdominal aortic aneurysm (AAA) and liver/renal failure, the controversial issue is the timing of the AAA repair and the transplantation of the affected organs. The question is whether to repair the AAA first and perform the double transplantation at a later time, or to perform all three procedures in the same operative session. This patient was affected by hepatic/renal failure and had also developed AAA. We describe the operative strategies utilized to perform the cadaver donor and recipient operations in this setting. In our patient, a combined liver/kidney transplantation with simultaneous aneurysm repair using arterial allografts was successfully performed. In a patient affected by end-stage liver, kidney, and aneurysmatic disease, a simultaneous liver/kidney transplant and AAA repair may represent the safest and most efficient treatment solution. |
| Databáze: | OpenAIRE |
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