Kidney Transplantation after ex vivo Repair of an Aneurysm of the Donor Renal Artery

Jeong Kye Hwang; Jiil Kim; In Sung Moon

doi:10.4285/jkstn.2009.23.2.166

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Hwang, Kim, and Moon: Kidney Transplantation after ex vivo Repair of an Aneurysm of the Donor Renal Artery

Case Report

J Korean Soc Transplant 2009;23(2):166-168.

Published online: 11 September 2009

DOI: https://doi.org/10.4285/jkstn.2009.23.2.166

Kidney Transplantation after ex vivo Repair of an Aneurysm of the Donor Renal Artery

Jeong Kye Hwang, M.D., Jiil Kim, M.D., In Sung Moon, M.D.

Department of Surgery, Seoul St. Mary’ s Hospital, The Catholic University of Korea, College of Medicine, Seoul, Korea

책임저자：김지일, 서울시 서초구 반포동 505 서울성모병원 외과, 137-040 Tel: 02-2258-6103, Fax: 02-2258-6838 E-mail: cmckji@catholic.ac.kr 위 연구는 (주)종근당의 지원으로 이루어졌음.

Received 29 July 200917 August 2009 Accepted 20 August 2009

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Kidney transplantation, particularly from a living donor, is the treatment of choice for most patients with end-stage renal disease. The superior results achieved with kidney transplantation from living donor. We report a case of transplantation using a kidney with renal arterial aneurysm from a 49-year-old living donor to her 51-year-old brother. A preoperative CT angiogram in a donor candidate showed the right kidney with 6 mm sized saccular aneurysm involves the proximal portion of anterior segmental artery. The kidney was removed by a hand-assisted laparoscopic nephrectomy. After ex vivo aneurysmectomy, the graft was transplanted into the right iliac fossa. The total ischemic time was 62 minutes, and the urine flow was started immediately after declamping. If there are multiple donor candidates of same condition, donor with unilateral renal artery aneurysm should be chosen for transplant. The use of those grafts is safe for both recipients and donors.

Keywords: Renal artery aneurysm, Kidney transplantation, ex vivo repair

REFERENCES

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Fig. 1.

A resected kidney with 6 mm sized saccular aneurysm.

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