Abstract
We report a case of very early postoperative iatrogenic dissection of common iliac artery (CIA), external iliac artery (EIA) causing acute ischemia of the right lower limb, and impairing the perfusion of a renal allograft. This was managed successfully by graft nephrectomy and interposition polytetrafluoroethylene grafting of the CIA and EIA with re-implantation of the kidney allograft and restoration of its perfusion and function, together with restoration of the lower limb circulation.
MeSH terms
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Blood Vessel Prosthesis
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Blood Vessel Prosthesis Implantation / instrumentation
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Humans
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Iatrogenic Disease*
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Iliac Artery / diagnostic imaging
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Iliac Artery / injuries*
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Iliac Artery / physiopathology
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Iliac Artery / surgery
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Kidney Failure, Chronic / diagnosis
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Kidney Failure, Chronic / surgery*
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Kidney Transplantation / adverse effects*
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Male
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Middle Aged
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Nephrectomy
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Polytetrafluoroethylene
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Prosthesis Design
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Recovery of Function
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Regional Blood Flow
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Renal Circulation
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Replantation
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Treatment Outcome
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Vascular System Injuries / diagnostic imaging
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Vascular System Injuries / etiology*
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Vascular System Injuries / physiopathology
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Vascular System Injuries / surgery