ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Transplanted kidney, stenotic renal artery, and a giant pseudoaneurysm: How we tried to treat, Why we failed, and How we managed?
Murat Uğurlucan1, Yılmaz Önal2, Didem Melis Öztaş1, Ali Rıza Odabaş3, Ufuk Alpagut1
1Department of Cardiovascular Surgery, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey
2Department of Radiology, Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey
3Department of Urology, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2019.16492
Donor and recipient artery problems are challenging complications in renal transplant patients. In this report, we present our treatment strategy in a 42-year-old renal transplant case with renal artery stenosis and a giant pseudoaneurysm at the anastomotic site. Open repair failed due to extreme adhesions. However, the patient was managed successfully using the hybrid approach with iliofemoral bypass and stent graft implantation to the renal artery, providing retrograde renal artery perfusion.
Keywords : Artery; hybrid treatment; kidney transplantation; pseudoaneurysm; stenosis
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