B型解離を合併した腎移植後患者に対する腹部大動脈人工血管置換術:移植腎を温存しえた一例

概要

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Abdominal aortic aneurysm repair in kidney transplant recipients is still a surgical challenge. We performed surgical repair in a 53-year-old man who had a type B chronic aortic dissection and had undergone kidney transplantation 6 years earlier because of chronic glomerulonephritis. Since he had both a thoracic descending aortic aneurysm and a huge abdominal aortic aneurysm, a staged repair was planned. At operation, after dissection around the transplanted kidney, the kidney was perfused with cold Ringer's solution and albumin. Aortic revascularization was accomplished with a Y-shaped graft. After prolonged rehabilitation and antibiotic treatment, he was discharged and was awaiting second-stage repair of the thoracic descending aortic aneurysm.
日本循環制御医学会の論文