文章基本信息

标题：Aortobifemoral reconstruction and renal transplantation in a patient with abdominal aortic aneurysm and occlusion of iliac arteries: A case report
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作者：Tomić, Aleksandar ; Milović, Novak ; Marjanović, Ivan 等
期刊名称：Vojnosanitetski pregled
印刷版ISSN：0042-8450
出版年度：2017
卷号：74
期号：1
页码：81-84
DOI：10.2298/VSP140609139T
出版社：Military Medical Academy, INI
摘要：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.
关键词：atherosclerosis; iliac artery; aortic aneurysm; abdominal; renal dialysis; comorbidity; vascular surgical procedures; kidney transplantation