Document Detail


Abdominal aortic aneurysm repair in a patient with bilateral autotransplanted kidneys.
MedLine Citation:
PMID:  8016829     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The case is presented of a 38-year-old male who presented with a large 10 cm x 8 cm pulsatile swelling in his abdomen. Thirteen years before, internal iliac arteries had been used to treat long segment occlusions and diseased state of both renal arteries. At the same time both kidneys had been transplanted to the iliac fossae. Digital subtraction angiography revealed a huge abdominal aortic aneurysm. Both kidneys were fully functional. As the renal transplants had been done extraperitoneally an easy transperitoneal approach was now possible. The maximum diameter of the aneurysm was 12 cm. An inclusion graft repair was carried out using a 16-mm woven Dacron graft. In the light of the favourable circumstances it was decided not to take any special protective measures against renal ischemia apart from keeping the aortic cross-clamp time short. The patient could be discharged with patent and normally functioning kidneys 10 days after surgery.
Authors:
K S Neelakandhan; R Muralidhar; M Unnikrishnan; K Ravimandalam
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  42     ISSN:  0171-6425     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  1994 Apr 
Date Detail:
Created Date:  1994-07-27     Completed Date:  1994-07-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  128-30     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular and Thoracic Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aortic Aneurysm, Abdominal / radiography,  surgery*
Aortitis / radiography,  surgery
Blood Vessel Prosthesis*
Humans
Hypertension, Renovascular / radiography,  surgery*
Iliac Artery / surgery*
Kidney Transplantation*
Male
Polyethylene Terephthalates*
Postoperative Complications / radiography,  surgery*
Renal Artery Obstruction / radiography,  surgery
Reoperation
Transplantation, Autologous
Chemical
Reg. No./Substance:
0/Polyethylene Terephthalates

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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