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KMID : 0904020090250010057
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Journal of Korean Society for Vascular Surgery
2009 Volume.25 No. 1 p.57 ~ p.60
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Endovascular Aortic Aneurysm Repair in a Renal Transplant Recipient: a Case Report
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Kim Min-Soo
Lee Hong-Gee
Kwon Oh-Jung
Song Soon-Young
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Abstract
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Endovascular aneurysm repair (EVAR) has gained increasing acceptance and success. We report here on a case of EVAR in a patient with renal allograft. EVAR was performed using an aorto-biiliac endovascular graft system in a 65-year-old man who underwent kidney transplantation in the right iliac fossa. The donor renal artery was anastomosed to the recipient’s internal iliac artery. The preoperative renal function was normal. The size of the aneurysm was 5.5 cm in transverse diameter and the length of the distal neck was 2 cm to the right internal iliac artery. After the procedure, the completion angiogram demonstrated the good position of the endograft; however, we found a type II endoleak from the IMA. The postoperative renal function was not changed and the patient was discharged home after an uneventful hospital course. At the 6 month follow-up, the type II endoleak was noted to have decreased on the CT angiogram and the patient has remained well with a stable allograft renal function.
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KEYWORD
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Abdominal aortic aneurysm, Blood vessel prosthesis implantation, Kidney transplantation
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