Successful simultaneous renal transplantation and abdominal aortic aneurysmectomy
J. Cerilli, W. E. Evans and P. S. Vaccaro
At the time of related donor renal transplantation, a 49-year-old man with
chronic glomerulinephritis was found to have a large fusiform aneurysm
involving the internal and external iliac arteries, the abdominal aorta,
and both common iliac arteries. Transplantation and abdominal
aneurysmectomy using a standard Dacron bifurcation graft were successfully
carried out. This patient has had no associated complications and is
currently five years after transplantation and aneurysmectomy, with
excellent renal function. It is believed that transplantation may now be
offered to an older age group of patients with end-stage renal disease in
whom atherosclerosis wll have developed as a natural process of aging.
