Daniel Alejandro Arreola-Ramírez , Sahara Hurtado-Gómez , Alec Anceno , Fernando Fernández Varela-Gómez , Nancy Berenice Guzmán-Martínez , Hirepan Armenta-Álvarez , Alan Gabriel Contreras-Saldívar
{"title":"肾动脉瘤体外修复后活体肾移植成功","authors":"Daniel Alejandro Arreola-Ramírez , Sahara Hurtado-Gómez , Alec Anceno , Fernando Fernández Varela-Gómez , Nancy Berenice Guzmán-Martínez , Hirepan Armenta-Álvarez , Alan Gabriel Contreras-Saldívar","doi":"10.1016/j.eucr.2025.103076","DOIUrl":null,"url":null,"abstract":"<div><div>Renal-artery aneurysms (RAA), rare vascular lesions (≈0.1 % prevalence), may be detected during living-donor evaluations. We report a successful right kidney transplant from a 33-year-old woman with an 11 × 13 mm saccular RAA at the first bifurcation, detected by CT angiography. Following hand-assisted laparoscopic nephrectomy, ex vivo repair involved aneurysm excision and reconstruction with a 6-mm heparin-bonded ePTFE graft. Cold ischemia was 110 min; implantation into the 69-year-old recipient was uneventful. Immediate postoperative diuresis occurred; discharge creatinine was 1.2 mg/dL. At 18 months, both remain asymptomatic with stable renal function and normotension.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103076"},"PeriodicalIF":0.5000,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Successful living donor kidney transplantation following ex vivo repair of renal artery aneurysm\",\"authors\":\"Daniel Alejandro Arreola-Ramírez , Sahara Hurtado-Gómez , Alec Anceno , Fernando Fernández Varela-Gómez , Nancy Berenice Guzmán-Martínez , Hirepan Armenta-Álvarez , Alan Gabriel Contreras-Saldívar\",\"doi\":\"10.1016/j.eucr.2025.103076\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Renal-artery aneurysms (RAA), rare vascular lesions (≈0.1 % prevalence), may be detected during living-donor evaluations. We report a successful right kidney transplant from a 33-year-old woman with an 11 × 13 mm saccular RAA at the first bifurcation, detected by CT angiography. Following hand-assisted laparoscopic nephrectomy, ex vivo repair involved aneurysm excision and reconstruction with a 6-mm heparin-bonded ePTFE graft. Cold ischemia was 110 min; implantation into the 69-year-old recipient was uneventful. Immediate postoperative diuresis occurred; discharge creatinine was 1.2 mg/dL. At 18 months, both remain asymptomatic with stable renal function and normotension.</div></div>\",\"PeriodicalId\":38188,\"journal\":{\"name\":\"Urology Case Reports\",\"volume\":\"61 \",\"pages\":\"Article 103076\"},\"PeriodicalIF\":0.5000,\"publicationDate\":\"2025-05-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Urology Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2214442025001470\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"UROLOGY & NEPHROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Urology Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214442025001470","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
Successful living donor kidney transplantation following ex vivo repair of renal artery aneurysm
Renal-artery aneurysms (RAA), rare vascular lesions (≈0.1 % prevalence), may be detected during living-donor evaluations. We report a successful right kidney transplant from a 33-year-old woman with an 11 × 13 mm saccular RAA at the first bifurcation, detected by CT angiography. Following hand-assisted laparoscopic nephrectomy, ex vivo repair involved aneurysm excision and reconstruction with a 6-mm heparin-bonded ePTFE graft. Cold ischemia was 110 min; implantation into the 69-year-old recipient was uneventful. Immediate postoperative diuresis occurred; discharge creatinine was 1.2 mg/dL. At 18 months, both remain asymptomatic with stable renal function and normotension.
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