Endovascular Aortic Aneurysm Repair in a Renal Transplant Recipient:a Case Report

ABSTRACT

Endovascular aneurysm repair (EVAR) has gained increasing acceptance and success. We report here on a case of EVAR in a patient with renal allograft. EVAR was performed using an aorto-biiliac endovascular graft system in a 65-year-old man who underwent kidney transplantation in the right iliac fossa. The donor renal artery was anastomosed to the recipient' s internal iliac artery. The preoperative renal function was normal. The size of the aneurysm was 5.5 cm in transverse diameter and the length of the distal neck was 2 cm to the right internal iliac artery. After the procedure, the completion angiogram demonstrated the good position of the endograft; however, we found a type II endoleak from the IMA. The postoperative renal function was not changed and the patient was discharged home after an uneventful hospital course. At the 6 month follow-up, the type II endoleak was noted to have decreased on the CT angiogram and the patient has remained well with a stable allograft renal function.