Autosomal dominant polycystic kidney disease is a
common cause of end-stage renal failure and an
indication for transplant. The genetic mutation in
autosomal dominant polycystic kidney disease also
causes vascular abnormalities, mainly aneurysms but
also medial dissection. Here, a case of dissection of the
recipient artery during a kidney transplant procedure
in a patient with autosomal dominant polycystic kidney
disease is described. Dissection caused occlusion of
both the external iliac artery and the donor renal artery.
Occlusion was recognized intraoperatively, and the
kidney was salvaged by in situ reperfusion of the kidney
with cold preservation solution, excision of the affected
recipient arterial segment, and reanastomosis of the
donor artery to the internal iliac artery. The external iliac
artery defect was replaced with a saphenous vein
interposition graft. The transplanted kidney achieved
good function. This is the first description of a case of
recognition of recipient arterial dissection during a
kidney transplant procedure for autosomal dominant
polycystic kidney disease. Surgeons should be aware of
the phenomenon of arterial dissection in autosomal
dominant polycystic kidney disease and should be
vigilant while anastomosing the artery during kidney
transplant in these patients.
Van Hougenhouck-Tulleken, W.G.; Roche, Nathalie; Muranda, A.Z. (Albert)(In House Publications, 2016)
Pregnancy related acute kidney injury (PrAKI) is a relatively rare syndrome, and is associated with many pregnancy-unique
diseases. Due to the physiological changes of pregnancy, PrAKI is difficult to diagnose, hard to ...
Choopa, M.S.; Van Biljon, Getruida(Medpharm Publications, 2015)
Acute kidney injury (AKI) is a condition that is characterised by an abrupt reduction in kidney function, and is not limited to acute
renal failure. However, it is potentially treatable. Failure to do so may result in ...