The Femoral Venoarterial Perfusion During Open Abdominal Aortic Aneurysm Repair in Patient With Renal Transplant

Ann Vasc Surg. 2022 Feb:79:439.e1-439.e5. doi: 10.1016/j.avsg.2021.07.044. Epub 2021 Oct 13.

Abstract

We report of a patient with abdominal aortic aneurysm and renal transplant who underwent aneurysm repair. These patients can be treated by eather open or endovascular approach, depending on several factors, including aneurysm morphologic suitability for endovascular tretament, age of patient, and comorbidities.The main challange with open repair approach is to maintain renal transplant perfusion during the aortic cross clamping. Several methods of renal transplant perfusion during aneurysm repair have been described. In this case, we opted for open aneurysm repair beacuse of the age of the patient. The femoral venoarterial perfusion technique using extracorporal circulation machine was employed. We found this technique safe and easy in treating such patients.

Publication types

  • Case Reports

MeSH terms

  • Aortic Aneurysm, Abdominal / diagnostic imaging
  • Aortic Aneurysm, Abdominal / physiopathology
  • Aortic Aneurysm, Abdominal / surgery*
  • Blood Vessel Prosthesis Implantation*
  • Constriction
  • Extracorporeal Circulation*
  • Femoral Artery* / diagnostic imaging
  • Femoral Artery* / physiopathology
  • Femoral Vein* / diagnostic imaging
  • Femoral Vein* / physiopathology
  • Hemodynamics
  • Humans
  • Kidney Transplantation*
  • Male
  • Middle Aged
  • Perfusion*
  • Renal Circulation
  • Treatment Outcome