Aortobifemoral reconstruction and renal transplantation in a patient with abdominal aortic aneurysm and occlusion of iliac arteries: A case report

Introduction. Aortoiliac occlusive disease and abdominal aortic aneurysm in patients with renal insufficiency on hemodialysis can significantly influence the success of renal transplantation. In the recent past, advanced atherosclerosis was considered as contraindication for renal transplantation. C...

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Main Authors: Tomić Aleksandar, Milović Novak, Marjanović Ivan, Leković Ivan, Bjelanović Zoran, Šarac Momir, Vavić Neven, Ignjatović Ljiljana, Stamenković Dušica, Micković Saša
Format: Article
Language:English
Published: Military Health Department, Ministry of Defance, Serbia 2017-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2017/0042-84501600139T.pdf
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author Tomić Aleksandar
Milović Novak
Marjanović Ivan
Leković Ivan
Bjelanović Zoran
Šarac Momir
Vavić Neven
Ignjatović Ljiljana
Stamenković Dušica
Micković Saša
author_facet Tomić Aleksandar
Milović Novak
Marjanović Ivan
Leković Ivan
Bjelanović Zoran
Šarac Momir
Vavić Neven
Ignjatović Ljiljana
Stamenković Dušica
Micković Saša
author_sort Tomić Aleksandar
collection DOAJ
description Introduction. Aortoiliac occlusive disease and abdominal aortic aneurysm in patients with renal insufficiency on hemodialysis can significantly influence the success of renal transplantation. In the recent past, advanced atherosclerosis was considered as contraindication for renal transplantation. Complicated creation of vascular anastomoses and progression of occlusive or aneurysmal disease were the main reasons. Case report. We presented a 52-year-old man with a 5-year history of end-stage renal disease on haemodialysis. The patient was previously excluded from renal transplantation program because of severe aortoiliac atherosclerosis and abdominal aortic aneurysm. Resection of abdominal aortic aneurysm with occlusion of the iliac arteries and reconstruction with aortobifemoral synthetic grafts was performed and followed by cadaveric renal transplantation. Conclusion. Advanced atherosclerotic disease in aortoiliac segment requires elective vascular surgical reconstruction, as part of preparation for renal transplantation in patients with end-stage renal disease.
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spelling doaj.art-373970f532c745b895ebf8a3880d16be2022-12-21T18:12:22ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202017-01-01741818410.2298/VSP140609139T0042-84501600139TAortobifemoral reconstruction and renal transplantation in a patient with abdominal aortic aneurysm and occlusion of iliac arteries: A case reportTomić Aleksandar0Milović Novak1Marjanović Ivan2Leković Ivan3Bjelanović Zoran4Šarac Momir5Vavić Neven6Ignjatović Ljiljana7Stamenković Dušica8Micković Saša9Military Medical Academy, Clinic for Vascular and Endovascular Surgery, Belgrade + University of Defence, Faculty of Medicine of the Military Medical Academy, BelgradeUniversity of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade + Military Medical Academy, Clinic for Urology, BelgradeMilitary Medical Academy, Clinic for Vascular and Endovascular Surgery, Belgrade + University of Defence, Faculty of Medicine of the Military Medical Academy, BelgradeMilitary Medical Academy, Clinic for Vascular and Endovascular Surgery, Belgrade Military Medical Academy, Clinic for Vascular and Endovascular Surgery, Belgrade Military Medical Academy, Clinic for Vascular and Endovascular Surgery, Belgrade Military Medical Academy, Clinic for Nephrology, BelgradeMilitary Medical Academy, Clinic for Nephrology, BelgradeUniversity of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade + Military Medical Academy, Clinic for Anesthesia and Intensive Care, BelgradeMilitary Medical Academy, Clinic for Vascular and Endovascular Surgery, Belgrade Introduction. Aortoiliac occlusive disease and abdominal aortic aneurysm in patients with renal insufficiency on hemodialysis can significantly influence the success of renal transplantation. In the recent past, advanced atherosclerosis was considered as contraindication for renal transplantation. Complicated creation of vascular anastomoses and progression of occlusive or aneurysmal disease were the main reasons. Case report. We presented a 52-year-old man with a 5-year history of end-stage renal disease on haemodialysis. The patient was previously excluded from renal transplantation program because of severe aortoiliac atherosclerosis and abdominal aortic aneurysm. Resection of abdominal aortic aneurysm with occlusion of the iliac arteries and reconstruction with aortobifemoral synthetic grafts was performed and followed by cadaveric renal transplantation. Conclusion. Advanced atherosclerotic disease in aortoiliac segment requires elective vascular surgical reconstruction, as part of preparation for renal transplantation in patients with end-stage renal disease.http://www.doiserbia.nb.rs/img/doi/0042-8450/2017/0042-84501600139T.pdfatherosclerosisiliac arteryaortic aneurysm, abdominalrenal dialysiscomorbidityvascular surgical procedureskidney transplantation
spellingShingle Tomić Aleksandar
Milović Novak
Marjanović Ivan
Leković Ivan
Bjelanović Zoran
Šarac Momir
Vavić Neven
Ignjatović Ljiljana
Stamenković Dušica
Micković Saša
Aortobifemoral reconstruction and renal transplantation in a patient with abdominal aortic aneurysm and occlusion of iliac arteries: A case report
Vojnosanitetski Pregled
atherosclerosis
iliac artery
aortic aneurysm, abdominal
renal dialysis
comorbidity
vascular surgical procedures
kidney transplantation
title Aortobifemoral reconstruction and renal transplantation in a patient with abdominal aortic aneurysm and occlusion of iliac arteries: A case report
title_full Aortobifemoral reconstruction and renal transplantation in a patient with abdominal aortic aneurysm and occlusion of iliac arteries: A case report
title_fullStr Aortobifemoral reconstruction and renal transplantation in a patient with abdominal aortic aneurysm and occlusion of iliac arteries: A case report
title_full_unstemmed Aortobifemoral reconstruction and renal transplantation in a patient with abdominal aortic aneurysm and occlusion of iliac arteries: A case report
title_short Aortobifemoral reconstruction and renal transplantation in a patient with abdominal aortic aneurysm and occlusion of iliac arteries: A case report
title_sort aortobifemoral reconstruction and renal transplantation in a patient with abdominal aortic aneurysm and occlusion of iliac arteries a case report
topic atherosclerosis
iliac artery
aortic aneurysm, abdominal
renal dialysis
comorbidity
vascular surgical procedures
kidney transplantation
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2017/0042-84501600139T.pdf
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