Document Detail


Successful aortic surgery after renal transplantation without protection of the transplanted kidney.
MedLine Citation:
PMID:  3334679     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
When renal transplant recipients undergo aortic surgery, blood supply to the renal graft is interrupted while the aorta is clamped. Several innovative ways of using shunts have been described to preserve blood flow to the transplanted kidney during such surgery on the assumption that temporary warm ischemia of the renal transplant is poorly tolerated. We have performed aortic surgery in four renal transplant recipients without the use of any form of graft protection. One patient underwent urgent operation to treat an expanding aortic aneurysm and the other three had elective surgery for aortoiliac occlusive disease. Ischemic times ranged from 30 to 45 minutes. Two of the four patients had a temporary rise in serum creatinine levels. No patient required hemodialysis. We conclude that in selected renal transplant recipients, aortic surgery can be safely undertaken without graft protection.
Authors:
J P Harris; J May
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  5     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  1987 Mar 
Date Detail:
Created Date:  1989-10-06     Completed Date:  1989-10-06     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  457-61     Citation Subset:  IM    
Affiliation:
Department of Surgery, Royal Prince Alfred Hospital, University of Sydney, NSW, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aorta, Abdominal / surgery*
Aortic Aneurysm / surgery
Arteriosclerosis / surgery
Blood Vessel Prosthesis*
Constriction
Female
Humans
Iliac Artery / surgery
Intraoperative Care / methods
Kidney Transplantation*
Male
Middle Aged
Perfusion
Time Factors

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


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