Wilson Jr., Charles Harrison; Gregory, Roger Thorpe; Wheeler, Jock Rodgers; Hurwitz, Lewis Richard; Vansant, John Herndon; Thomas, Francis Thornton
May 1979
Vascular Surgery;May/Jun1979, Vol. 13 Issue 3, p207
Academic Journal
Although end-to-end renal artery anastomosis for kidney transplantation is preferred, anatomic and pathologic variations may necessitate an end-to-side anastomosis to the recipient's iliac artery. This was required in 31 of 100 consecutive kidney transplants. Delayed rupture of the end-to-side anastomosis occurred in 3 patients in whom removal of an infected kidney transplant was necessary. All 3 patients died and 2 required amputation. These cases suggest that management of an infected renal transplant should include removal of the donor kidney, excision of the end-to-side anastomosis, and extra-anatomic arterial reconstruction to avoid delayed anastomotic rupture and to preserve limb viability.


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