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Simultaneous Orthotopic Liver and Kidney Transplant with Repair of Abdominal Aortic Aneurysm: Operative Timing
Author(s) -
Testa Giuliano,
Panaro Fabrizio,
Bogetti Diego,
Jarzembowski Tomasz,
Schuler James,
Baraniewski Henry,
Benedetti Enrico
Publication year - 2003
Publication title -
american journal of transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.89
H-Index - 188
eISSN - 1600-6143
pISSN - 1600-6135
DOI - 10.1034/j.1600-6143.2003.00162.x
Subject(s) - medicine , abdominal aortic aneurysm , surgery , kidney , transplantation , aortic aneurysm , liver transplantation , kidney transplantation , aneurysm
In the case of coexisting abdominal aortic aneurysm (AAA) and liver/renal failure, the controversial issue is the timing of the AAA repair and the transplantation of the affected organs. The question is whether to repair the AAA first and perform the double transplantation at a later time, or to perform all three procedures in the same operative session. This patient was affected by hepatic/renal failure and had also developed AAA. We describe the operative strategies utilized to perform the cadaver donor and recipient operations in this setting. In our patient, a combined liver/kidney transplantation with simultaneous aneurysm repair using arterial allografts was successfully performed. In a patient affected by end‐stage liver, kidney, and aneurysmatic disease, a simultaneous liver/kidney transplant and AAA repair may represent the safest and most efficient treatment solution.