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KMID : 0191120090240010166
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Journal of Korean Medical Science
2009 Volume.24 No. 1 p.166 ~ p.169
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Abdominal Aortic Aneurysm Repair in Patient with a Renal Allograft: A Case Report
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Kim Hyung-Kee
Ryuk Jong-Pil
Choi Hyang-Hee
Kwon Sang-Hwy
Huh Seung
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Abstract
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Renal transplant recipients requiring aortic reconstruction due to abdominal aortic aneurysm (AAA) pose a unique clinical problem. The concern during surgery is causing ischemic injury to the renal allograft. A variety of strategies for protection of the renal allograft during AAA intervention have been described including a temporary shunt, cold renal perfusion, extracorporeal bypass, general hypothermia, and endovascular stent-grafting. In addition, some investigators have reported no remarkable complications of the renal allograft without any specific measures. We treated a case of AAA in a patient with a renal allograft using a temporary aortofemoral shunt with good result. Since this technique is safe and effective, it should be considered in similar patients with AAA and previously placed renal allografts.
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KEYWORD
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Aortic Aneurysm, Abdominal, Renal Allograft, Temporary Shunt
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