Naslov
Emergency ilio-femoral bypass during kidney transplantation due to external iliac artery dissection: case report

Autori
Mokos, Ivica ; Penezić, Luka ; Figl, Josip ; Čikić, Bojan ; Marić, Marjan ; Bašić Jukić, Nikolina ; Kaštelan, Željko

Izvornik
Acta Medica (Hradec Kralove) (1211-4286) 64 (2021), 4; 232-234

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
kidney transplantation ; peripheral arterial disease ; vascular grafting

Sažetak
Intraoperative iliac artery dissection during kidney transplantation is a rare but serious complication that requires prompt intervention. We present a case of right external iliac artery dissection during deceased donor kidney transplantation. A 57-year-old male patient underwent standard pretransplant evaluation and had no signs of either significant aortoiliac occlusive disease or peripheral arterial occlusive disease. Diabetic nephropathy, arterial hypertension and smoking were the underlying causes of the patient’s end-stage renal disease. Transplantation was performed in the standard fashion. The kidney was positioned in the right iliac fossa and the venous end to-side anastomosis was performed first. A significant dissection of the right external iliac artery was found on arteriotomy. Immediate ilio-femoral bypass with a vascular prosthesis was performed. During two years of follow-up the kidney function is stable and there are no signs of lower limb vascular insufficiency.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA