Issue: Vojnosanit Pregl 2017; Vol. 74 (No. 1)

TAortobifemoral reconstruction and renal transplantation in a patient with abdominal aortic aneurysm and occlusion of iliac arteries: A case report

Authors:
Aleksandar Tomić, Novak Milović, Ivan Marjanović, Ivan Leković , Zoran Bjelanović, Momir Šarac, Neven Vavić, Ljiljana Ignjatović, Dušica Stamenković, Saša Micković

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Introduction. Aortoiliac occlusive disease and abdominal aortic aneurysm in patients with renal insufficiency on hemodialysis can significantly influence the success of renal transplantation. In the recent past, advanced atherosclerosis was considered as contraindication for renal transplantation. Complicated creation of vascular anastomoses and progression of occlusive or aneurysmal disease were the main reasons. Case report. We presented a 52-year-old man with a 5-year history of end-stage renal disease on haemodialysis. The patient was previously excluded from renal transplantation program because of severe aortoiliac atherosclerosis and abdominal aor-tic aneurysm. Resection of abdominal aortic aneurysm with oc-clusion of the iliac arteries and reconstruction with aorto-bifemoral synthetic grafts was performed and followed by ca-daveric renal transplantation. Conclusion. Advanced athero-sclerotic disease in aortoiliac segment requires elective vascular surgical reconstruction, as part of preparation for renal trans-plantation in patients with end-stage renal disease.