With broader indications for renal transplantation and improved allograft survival, it is anticipated that the problem of aortic disease in the post-transplant patient will be encountered with increasing frequency. We report a technique of protecting the transplant kidney from ischemic damage during distal aortic surgery. A 30-year-old renal transplant patient who had undergone an operation for ruptured chronic type III dissection 3 years previously underwent abdominal aortic aneurysm repair under hypothermic circulatory arrest. The patient recovered uneventfully and is presently doing well 1 year after the operation. Hypothermic circulatory arrest could be used in selected cases as a useful alternative for transplant kidney protection.
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Ya?di, T., Büket, S., Tokat, Y. et al. Circulatory Arrest to Protect Transplant Kidney in a Patient with Chronic Type III Dissection. Ann Vasc Surg 15, 575–577 (2001). https://doi.org/10.1007/s10016-001-0008-9
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DOI: https://doi.org/10.1007/s10016-001-0008-9