Open AccessKidney transplantation from a living donor with renal artery fibromuscular dysplasia: A case report on arterial grafting of the donor renal artery
Author(s) -
Matsushita Yuto,
Motoyama Daisuke,
Ito Toshiki,
Sugiyama Takayuki,
Otsuka Atsushi,
Sano Masaki,
Inuzuka Kazunori,
Miyake Hideaki
Publication year - 2020
Publication title -
iju case reports
Language(s) - English
Resource type - Journals
ISSN - 2577-171X
DOI - 10.1002/iju5.12188
Subject(s) - fibromuscular dysplasia , medicine , renal artery , transplantation , kidney transplantation , kidney , contraindication , right renal artery , renovascular hypertension , nephrectomy , surgery , dysplasia , pathology , alternative medicine
Renal artery fibromuscular dysplasia is generally considered a contraindication of kidney transplantation, since fibromuscular dysplasia occasionally induces hypertension or renal insufficiency in the recipient and/or donor. To date, limited information remains available with respect to whether kidneys with renal arterial fibromuscular dysplasia can be successfully transplanted. Case presentation A 53‐year‐old potential donor was diagnosed with fibromuscular dysplasia of the right renal artery. Laparoscopic right nephrectomy was performed, and the affected portion was resected and reconstructed using the harvested internal iliac artery. Transplantation was successful and the serum creatinine level was <2 mg/dL for 3 years after surgery. Conclusion If reconstruction of the diseased artery could be safely performed, transplantation using a kidney from a donor with renal artery fibromuscular dysplasia may be considered.