Orthotopic Kidney Transplantation in an Elderly Patient With Various Severe Comorbid Conditions: A Case Report
| Autor: | Yuhji Marui, Kouichirou Aida, Ryuto Nakazawa, Eisuke Fujimoto, Tatsuya Chikaraishi, Hidekazu Yoshie, T. Iwata, Masahiko Yazawa, Hiroya Kudo, Hideo Sasaki, Yuichi Katsuoka, Kenichiro Koitabashi, Yugo Shibagaki, H. Metoki, Wataru Usuba |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment 030232 urology & nephrology 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine medicine.artery medicine Diabetes Mellitus Humans Diabetic Nephropathies Renal artery Atrioventricular Block Kidney transplantation Aged Transplantation Kidney urogenital system business.industry Stent Prostatic Neoplasms medicine.disease Kidney Transplantation Nephrectomy Surgery surgical procedures operative medicine.anatomical_structure Cardiovascular Diseases Renal vein Complication business |
| Zdroj: | Transplantation proceedings. 49(10) |
| ISSN: | 1873-2623 |
| Popis: | In recent years, the frequency of high-risk kidney transplantations has increased. We report a case in which a 72-year-old man with various severe comorbidities (prostate cancer, diabetes mellitus, complete atrioventricular block, coronary artery stenosis, severe stenosis of the popliteal arteries, and severe calcification of the iliac arteries) who received an orthotopic kidney transplantation. To prevent the occurrence of acute limb ischemia due to the steal phenomenon (caused by the kidney graft), we decided that a heterotopic kidney transplantation involving the iliac arteries was not an appropriate option. Therefore, as an alternative, left native nephrectomy was performed followed by an orthotopic kidney transplantation to the native renal artery and renal vein through a left subcostal incision. Postoperative ureteral stenosis occurred, and so stent exchange was required every 6 months. Despite the ureteral complication, the patient's serum creatinine level was 1.5 mg/dL at 2 years after the procedure. |
| Databáze: | OpenAIRE |
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