Resumo

FERRER PADRON, Alejandro; SARDINAS BETANCOURT, Rolando; VALERON LEON, Ariel  e  GOMEZ PEREZ, Juan. Left heterotrophic kidney transplantation in vascular allograft. AMC [online]. 2005, vol.9, n.6, pp.125-134. ISSN 1025-0255.

With the aim of reporting on the management of patients with terminal chronic kidney insufficiency and with infrarenal abdominal aortic aneurism two cases were presented, a 59 year male with a previous history of essential high blood pressure, with a 14 year ischemic cardiopaty suffering from terminal chronic kidney insufficiency since 1999 caused by a nephorangioesclerosis and under ambulatory periodic hemodialysis, with hyperacute rejection of his first transplantation. On the second year he was diagnosed for infrarenal aorticabdominal aneurysm (56 mm) which, having compromised the ileuses, was solved through arterial allograph preserved from a corpse donor of the aorticiliac, and finally upon a second renal transplantation in left iliac fossa on the left branch of the allograft. The second patient, a 63 year male with a previous history of essential blood pressure that spanned  26 years, with terminal chronic kidney insufficiency, since June  2000, of  nonfilial cause; in ambulatory periodic hemodialysis; with loss of his first transplantation and with a diagnosis of infrarenal abdominal aortic aneurysm of 5cm, which compromised the iliacs; restored through bypass, with polyester aortobifemoral prothesis; which beneffited from a second left heterotopic transplatntation on the vascular prosthesis. Both patients evolved satisfactorily, with immediate diuresis, normalization of the creatinine rate and with no sign of sepsis. Both diseases were put and end to by way of transplantation of renal graft on the vascular grafts. To this day these two patients are the first that have been reported with the above-described characteristics ever since the National Renal Transplantation was implemented.

Palavras-chave : KIDNEY TRASPLANTATION; ARTERIES; TISSUE TRASPLANTATION; ABDOMINAL AORTIC ANEURYSM.

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