Renal transplant recipients currently survive for many years with a consequent increase in the risk of presentation with vascular diseases. So aortic reconstruction in transplant patients is being reported in an increasing number, and the most common
among them is aneurysm of the abdominal aorta. Most important problem of the operation is the ischemic injury of the transplanted kidney during aortic clamping. If the transplanted kidneys were damaged by ischemic injury, the creatinine level would
elevate and proceed to acute tubular necrosis and chronic renal failure. For the graft kidney protection from the ischemic or reperfusion injury, many procedures are carried out, such as permanent or temporary axillo-femoral bypass, femoro- femoral
bypass, aorto-iliac bypass, cold perfusion, local cold preserving, kidney autotransplantation. These days, some authors reported that they could protect the function of the transplanted kidney without any other procedures. We had experienced direct
reconstruction of AAA in kidney transplantation recipients without any other surgical protection with good result. Most important factor for protecting the transplanted kidney function is total ischemic time of kidney.
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