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首页> 外文期刊>Vascular and endovascular surgery >Ex Vivo Repair of a Renal Artery Saccular Aneurysm in a Living-Nonrelated Donor and Subsequent Successful Kidney Transplantation
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Ex Vivo Repair of a Renal Artery Saccular Aneurysm in a Living-Nonrelated Donor and Subsequent Successful Kidney Transplantation

机译：肾动脉囊状动脉瘤的肾脏动脉瘤中的前体内修复，随后的成功肾移植

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The use of kidney grafts with aneurysmal disease involving the renal arteries for transplantation is very uncommon and relatively controversial. We herein present the case of a 52-year-old woman who volunteered to become a living-nonrelated donor; during the preoperative imaging workup, a computed tomography angiography revealed a 1.5-cm saccular aneurysm in the left kidney, while the contralateral renal artery was normal. We decided to utilize the left kidney for a 25-year-old male patient with end-stage renal disease, and following the ex vivo repair using the recipient epigastric vessels and saphenous veins, we completed the transplantation in the right pelvic fossa. The postoperative period was uneventful, and at 8 months from the surgery, the graft remains functional. The surgical repair of renal artery aneurysms followed by immediate kidney transplantation is a safe technique and an effective replacement therapy for recipients. The incidental finding of isolated aneurysmal disease in renal arteries should not exclude graft potential availability for transplantation following repair.
机译：使用肾移植与涉及移植肾动脉的动脉瘤疾病的使用非常罕见，相对争议。我们在本文中为一名52岁的女性自愿成为一名生活中的捐助者;在术前成像处理期间，计算断层造影血管造影在左肾显示出1.5cm的囊状动脉瘤，而对侧肾动脉正常。我们决定利用左肾进行一名25岁的男性患者，患有终末期肾病，并在使用受体颠膜血管和隐血管的前体内修复后，我们完成了右骨盆窝的移植。术后期间是不行的，并且在手术中的8个月内，移植物仍然是功能性的。肾动脉动脉瘤的手术修复，然后立即进行肾移植是一种安全的技术和有效的接受者的替代疗法。肾动脉中分离动脉瘤疾病的偶然发现不应排除修复后移植的移植潜在可用性。

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