Abdominal Aortic Aneurysm Repair in a Patient With Bilateral Autotransplanted Kidneys

Summary The caso is presented of a 38-year-old male who presented with a large 10 cm × 8 cm pulsatile swelling in his abdomen. Thirteen years before, internal iliac arteries had been used to treat long sogment occlusions and diseased State of both renal arteries. At the same time both kidneys had been transplanted to the iliac fossae. Digital subtraction angiography revealed a huge abdominal aortic aneurysm. Both kidneys were fully functional. As the renal transplants had boen done extraperitoneally an oasy transperitoneal approach was now possible. The maximum diameter of the aneurysm was 12 cm. An inclusion graft repair was carried out using a 16-mm woven Dacron graft. In the light of the favourable circumstances it was deeided not to take any special protective measures against renal ischemia apart from keeping the aortic cross-clamp time short. The patient could be discharged with patent and normally funetioning kidneys 10 days after surgery.