Renal allograft anastomotic pseudoaneurysm presenting with acute renal failure: a case of surgical treatment with graft preservation

Detalhes bibliográficos
Autor(a) principal: Silveira,Diogo
Data de Publicação: 2015
Outros Autores: Martins,Joana, Pereira,Carlos, Pereira,Maria do Sameiro C., Almeida,Rui
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2015000300008
Resumo: Renal allograft anastomotic pseudoaneurysms (AP) are rare though associated with high rates of graft loss and mortality. Intrinsic transplantation mechanisms regarding active immunosuppression and/or chronic rejection increase susceptibility for their development, having a prognostic impact. We present a case report of successful surgical treatment of a 6 cm right iliac transplant patch pseudoaneurysm, diagnosed following an episode of acute obstructive renal insufficiency caused by AP ureteral compression. Treatment consisted, by a transperitoneal approach, in partial AP resection, antegrade termino-terminal renal artery re-implantation in the external iliac artery and right lower limb revascularization with extra-anatomical femoro-femoral crossover 8 mm PTFE bypass. There were no post-operative complications and renal function normalized to previous values.
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spelling Renal allograft anastomotic pseudoaneurysm presenting with acute renal failure: a case of surgical treatment with graft preservationFalse aneurysmRenal transplantRenal graftRenal artery patchRenal allograft anastomotic pseudoaneurysms (AP) are rare though associated with high rates of graft loss and mortality. Intrinsic transplantation mechanisms regarding active immunosuppression and/or chronic rejection increase susceptibility for their development, having a prognostic impact. We present a case report of successful surgical treatment of a 6 cm right iliac transplant patch pseudoaneurysm, diagnosed following an episode of acute obstructive renal insufficiency caused by AP ureteral compression. Treatment consisted, by a transperitoneal approach, in partial AP resection, antegrade termino-terminal renal artery re-implantation in the external iliac artery and right lower limb revascularization with extra-anatomical femoro-femoral crossover 8 mm PTFE bypass. There were no post-operative complications and renal function normalized to previous values.Sociedade Portuguesa de Angiologia e Cirurgia Vascular2015-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2015000300008Angiologia e Cirurgia Vascular v.11 n.3 2015reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2015000300008Silveira,DiogoMartins,JoanaPereira,CarlosPereira,Maria do Sameiro C.Almeida,Ruiinfo:eu-repo/semantics/openAccess2024-02-06T17:22:41Zoai:scielo:S1646-706X2015000300008Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:29:16.733763Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Renal allograft anastomotic pseudoaneurysm presenting with acute renal failure: a case of surgical treatment with graft preservation
title Renal allograft anastomotic pseudoaneurysm presenting with acute renal failure: a case of surgical treatment with graft preservation
spellingShingle Renal allograft anastomotic pseudoaneurysm presenting with acute renal failure: a case of surgical treatment with graft preservation
Silveira,Diogo
False aneurysm
Renal transplant
Renal graft
Renal artery patch
title_short Renal allograft anastomotic pseudoaneurysm presenting with acute renal failure: a case of surgical treatment with graft preservation
title_full Renal allograft anastomotic pseudoaneurysm presenting with acute renal failure: a case of surgical treatment with graft preservation
title_fullStr Renal allograft anastomotic pseudoaneurysm presenting with acute renal failure: a case of surgical treatment with graft preservation
title_full_unstemmed Renal allograft anastomotic pseudoaneurysm presenting with acute renal failure: a case of surgical treatment with graft preservation
title_sort Renal allograft anastomotic pseudoaneurysm presenting with acute renal failure: a case of surgical treatment with graft preservation
author Silveira,Diogo
author_facet Silveira,Diogo
Martins,Joana
Pereira,Carlos
Pereira,Maria do Sameiro C.
Almeida,Rui
author_role author
author2 Martins,Joana
Pereira,Carlos
Pereira,Maria do Sameiro C.
Almeida,Rui
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Silveira,Diogo
Martins,Joana
Pereira,Carlos
Pereira,Maria do Sameiro C.
Almeida,Rui
dc.subject.por.fl_str_mv False aneurysm
Renal transplant
Renal graft
Renal artery patch
topic False aneurysm
Renal transplant
Renal graft
Renal artery patch
description Renal allograft anastomotic pseudoaneurysms (AP) are rare though associated with high rates of graft loss and mortality. Intrinsic transplantation mechanisms regarding active immunosuppression and/or chronic rejection increase susceptibility for their development, having a prognostic impact. We present a case report of successful surgical treatment of a 6 cm right iliac transplant patch pseudoaneurysm, diagnosed following an episode of acute obstructive renal insufficiency caused by AP ureteral compression. Treatment consisted, by a transperitoneal approach, in partial AP resection, antegrade termino-terminal renal artery re-implantation in the external iliac artery and right lower limb revascularization with extra-anatomical femoro-femoral crossover 8 mm PTFE bypass. There were no post-operative complications and renal function normalized to previous values.
publishDate 2015
dc.date.none.fl_str_mv 2015-09-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
format report
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2015000300008
url http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2015000300008
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2015000300008
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Angiologia e Cirurgia Vascular
publisher.none.fl_str_mv Sociedade Portuguesa de Angiologia e Cirurgia Vascular
dc.source.none.fl_str_mv Angiologia e Cirurgia Vascular v.11 n.3 2015
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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