Use of a temporary shunt for renal transplant protection during aortic aneurysm repair
O'Mara, C.S.; Flinn, W.R.; Bergan, J.J.; Yao, J.S.
Surgery 94(3): 512-515
1983
ISSN/ISBN: 0039-6060 PMID: 6351316 Document Number: 213001
Broader indications for renal transplantation and improved allograft survival suggest that aortic aneurysms will be encountered more commonly in kidney transplant recipients. This report describes the use of a temporary heparin-bonded shunt placed from the proximal abdominal aorta to the femoral artery for perfusion of a renal allograft during simultaneous repair of an aortic aneurysm and correction of transplant renal artery stenosis. Renal function was satisfactorily maintained intraoperatively and has continued to be excellent during 2 1/2 years of follow-up. Methods of renal transplant protection during aortic reconstruction are reviewed, and principles of temporary shunting for allograft protection are proposed.