RUPTURE OF ABDOMINAL AORTIC ANEURYSM IN RENAL TRANSPLANT PATIENT
https://doi.org/10.15825/1995-1191-2012-2-49-56
Abstract
The purpose of this article was to report our first experience in surgical treatment of aortic aneurism rupture in patient of 55 years old with renal transplant.
Aortic aneurism rupture always associated with high mortality, and urgent operative procedure is also rather complicative and has also in bad anatomical conditions. The expectation of good collateral circulation for renal transplant, quick cross-clamp time and easy graft replacement may not always be the case. We believe that trans- planted kidney should be protected when ever feasible, especially in urgent procedure.
About the Authors
B. V. FadinI. G. Lesсhenko
V. V. Rzhannikov
V. V. Andreev
A. V. Gasnikov
A. A. Gasnikov
A. V. Kostenetskiy
I. V. Sablin
References
1. Казанчян П.О., Попов В.А. Осложнения в хирургии аневризмы аорты М.: МЭИ, 2002. 304 с.
2. Жидкова Д.А., Томилина Н.А., Семеновский М.Л. и др. Расслаивающая аневризма аорты у реципиента аллогенной почки // Нефрология и диализ. 2006. Т. 8, No 1. С. 78–84.
3. Спиридонов А.А., Тутов Е.Г., Аракелян В.С. Хирурги- ческое лечение аневризмы брюшной аорты. М.: Изд- во НЦССХ им. А.Н. Бакулева РАМН, 2000. 206 с.
4. Kim H.K., Ryuk J.P., Choi H.H., Kwon S.H., Huh S. Ab- dominal aortic aneurysm repair in a patient with a re- nal allograft: a case report // J. Korean Med. Sci. 2009. Vol. 24. P. 166–169.
5. Norwood M.G.A., Polimenovi N.M., Sutton A.J., Bown M.J., Sayers R.D. Abdominal aortic aneurysm repair in pati- ents with chronic renal disease // Eur. J. Vasc. Endovasc. Surg. 2004. Vol. 27. P. 287–291.
6. Sidhn R.S., Lindsay T.F., Rubin B., Walker P.M., Kal- man P., Johnston K.W. Aortic and iliac reconstruction af- ter kidney transplantation: experience with an algorithm for renal protection // Ann. Vasc. Surg. 2003. Vol. 17. No 2. P. 165–170.
7. Matia I., Adamec M., Janousek L., Lipar K., Viklicky O. Aortoiliac reconstruction with allograft and kidney trans- plantation as a one-stage procedure: long term results // Eur. J. Vasc. Endovasc. Surg. 2008. Vol. 35. P. 353–357.
8. Campbell D.A. Renal transplant protection during abdo- minal aortic aneurysmectomy with a pump-oxigenator / D.A. Campbell, M.I. Lorber, W.A. Arneson // Surgery. 1981. Vol. 90. P. 559–562.
9. Ailawadi G., Bedi A., Williams D.M., Stanley J.C., Up- church G.R. Endovascular treatment of aortic aneurysms in patients with renal transplants // J. Vasc. Surg. 2003. Vol. 37. P. 693–696.
10. Florack G. Definition of normothermic ischemic limits for kidney and pancreas grafts / G. Florack, D.E. Suther- land, R. Ascherl // J. Surg. Res. 1986. Vol. 40. P. 550–563.
11. Geroulakas G. Infrarenal abdominal aortic aneurysm less than five centimeters in diameter: the surgeon’s dilemma / G. Geroulakas, A. Nimpedes // Eur. J. Vasc. Surg. 1992. Vol. 6. P. 616–622.
12. Hak E. Abdominal aortic aneurysm screening: an epide- miological point of view / E. Hak, R. Balm, B.C. Eikel- boom // Eur. J. Vasc. Endovasc. Surg. 1996. Vol. 11. No 3. P. 270–278.
13. Harris J.P. Successful aortic surgery after renal transplan- tation without protection of a transplanted kidney / J.P. Harris, J. May // J. Vasc. Surg. 1987. Vol. 5. P. 457–461.
14. Lacombe M. Abdominal aortic aneurysmectomy in re- nal transplant patients / M. Lacombe // Ann. Surg. 1986. Vol. 203, No 1. Р. 62–68.
15. Lacombe M. Aortoiliac surgery in renal transplant patients / M. Lacombe // J. Vasc. Surg. 1991. Vol. 13. P. 712–718.
16. Lacombe M. Surgical treatment of aortoiliac aneurysms in renal transplant patients / M. Lacombe // J. Vasc. Surg. 2008. Vol. 48. P. 291–295.
17. Lacombe M. Abdominal aortic aneurysmectomy in re- nal transplant patients / M. Lacombe // Ann. Surg. 1986. Vol. 203, No 1. P. 62–68.
18. Maeda T. Abdominal aortic aneurysm repair in a renal transplant recipient using a femoral V-A bypass / T. Ma- eda, N. Watanabe, S. Muraki // Ann. Thorac. Cardiovasc. Surg. 2009. Vol. 15, No 6. P. 415–417.
19. Morris G.C. The protective effect of subfiltration arte- rial pressure on the kidney / G.C. Morris, C.F. Heider, J.H. Moyer // Surg. Forum. 1956. No 6. P. 623–624.
20. Muluk S.C. Aortic aneurysm in heart transplant patients / S.C. Muluk, D.L. Steed, M.S. Makaroun, S.M. Pham, R.L. Kormos, B.P. Griffith // J. Vasc. Surg. 1995. Vol. 22. P. 689–696.
21. Nashel D.J. Is atherosclerosis a complication of long- term corticosteroid treatment? / D.J. Nashel // Am. J. Med. 1986. Vol. 80. P. 925–929.
22. Nevitt M.P. Prognosis of abdominal aortic aneurysms: a population based study / M.P. Nevitt, D.J. Ballard, J.W. Hallef // N. Engl. J. Med. 1989. Vol. 321. P. 1009– 1014.
23. Nghiem D.D. In situ hypothermic preservation of a re- nal allograft during resection of abdominal aortic an- eurysm / D.D. Nghiem, H.M. Lee // Am. Surg. 1982. Vol. 48. P. 237–238.
24. Piotrowski J.J. Abdominal aortic aneurysm in the pa- tient undergoing cardiac transplantation / J.J. Pio- trowski, K.E. Mc Intyre, G.C. Hunter, C.S.K. Sethi, V.M. Bernard, J.C. Copeland // J. Vasc. Surg. 1991. Vol. 14. P. 460–467.
25. Pittaluga P. Aortoiliac reconstruction and kidney trans- plantation: a multicenter study / P. Pittaluga, R. Hassen- Khodja, E. Cassuto-Viguier // Ann. Vasc. Surg. 1998. Vol. 12, No 2. P. 529–536.
26. Reilly J.M. Hydrocortisone rapidly induces aortic rup- ture in a genetically suspectible mouse / J.M. Reilly, E.B. Savage, C.H. Brophy, M.D. Tilson // Arch. Surg. Vol. 125. P. 707–709.
27. Schwartz R.A. Successful repair of a ruptured abdo- minal aortic aneurysm in a renal transplant recipient / R.A. Schwartz, F.C. Bridget, G.J. Peterson // Ann. Vasc. Surg. 1988. Vol. 2, No 2. Р. 189–192.
28. Sterioff S. Temporary vascular bypass for perfusion of a renal transplant during abdominal aneurysmectomy / S. Sterioff, L. Parks // Surgery. Vol. 82. P. 558–560.
29. Matia I., Pirk J., Lipar K., Adamec M. Successful surgi- cal treatment of multilevel aortic aneurysms combined with renal transplantation // J. Vasc. Surg. 2009. Vol. 50. P. 198–201.
30. Englesbe M.J., Wu A.H., Clowes A.W., Zierler R.E. The prevalence and natural history of aortic aneurysms in heart and abdominal organ transplant patients // J. Vasc. Surg. 2003. Vol. 37. P. 27–31.
31. UK Renal Registry Report, 2000.
Review
For citations:
Fadin B.V., Lesсhenko I.G., Rzhannikov V.V., Andreev V.V., Gasnikov A.V., Gasnikov A.A., Kostenetskiy A.V., Sablin I.V. RUPTURE OF ABDOMINAL AORTIC ANEURYSM IN RENAL TRANSPLANT PATIENT. Russian Journal of Transplantology and Artificial Organs. 2012;14(2):49-56. (In Russ.) https://doi.org/10.15825/1995-1191-2012-2-49-56