Derivação axilo-ilíaco para proteção de rim transplantado durante a correção de aneurisma de aorta abdominal: relato de caso
Axillary-iliac bypass to protect a transplanted kidney during abdominal aortic aneurysm repair: case report
Paula de Oliveira Trintinalha; Lucas Mansano Sarquis; Wilson Michaelis; Antonio Lacerda Santos Filho; Rogerio Akira Yokoyama; Marcelo Tizzot Miguel; Adriana Pires Smaniotto; Mariana Santos de Oliveira
Abdominal aortic aneurysms (AAA) are the most common type, even when compared to those involving other segments of the aorta. The prevalence and natural history of arterial aneurysms in abdominal organ transplant recipients remain uncertain. We report a case of abdominal aortic aneurysm in a kidney transplant patient with contrast allergy. Conventional abdominal aortic aneurysm repair was performed, constructing a bi-iliac aortic bypass. A temporary bypass was constructed from the right axillary artery to the right common iliac artery to maintain the renal graft. The patient was transferred to the intensive care unit, where he remained hemodynamically stable, and he was discharged on the 2nd postoperative day. Conventional open surgery with temporary extra-anatomic bypass is an alternative option for treatment of AAA in patients with transplanted kidneys.
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