Complex Vascular Reconstruction of an En Bloc Pediatric Kidney Damaged during Organ Procurement

En bloc pediatric kidney (EBPK) allografts are a potential solution to expand the organ donor pool; however, EBPK transplantation has been traditionally considered suboptimal due to concerns of perioperative vascular and urologic complications. Accidental organ or vasculature injury during harvest i...

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Main Authors: Juliano Riella, Marina M. Tabbara, Phillipe Abreu, Javier Gonzalez, Gaetano Ciancio, José Maria Figueiro
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Transplantation
Online Access:http://dx.doi.org/10.1155/2022/3242809
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author Juliano Riella
Marina M. Tabbara
Phillipe Abreu
Javier Gonzalez
Gaetano Ciancio
José Maria Figueiro
author_facet Juliano Riella
Marina M. Tabbara
Phillipe Abreu
Javier Gonzalez
Gaetano Ciancio
José Maria Figueiro
author_sort Juliano Riella
collection DOAJ
description En bloc pediatric kidney (EBPK) allografts are a potential solution to expand the organ donor pool; however, EBPK transplantation has been traditionally considered suboptimal due to concerns of perioperative vascular and urologic complications. Accidental organ or vasculature injury during harvest is not uncommon; however, this does not necessarily mean that the organ should be discarded. Careful vascular reconstruction can be performed using donor vascular grafts, salvaging the organ without stenosis or thrombosis of the vessels. We report an extensive vascular reconstruction of the right renal artery, aorta, and inferior vena cava of a damaged EBPK allograft using a donor pediatric aorta vascular patch with the goal of avoiding postoperative vascular complications.
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publishDate 2022-01-01
publisher Wiley
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series Case Reports in Transplantation
spelling doaj-art-78266e981cda4b1baba2dba74434c67b2025-02-03T05:50:06ZengWileyCase Reports in Transplantation2090-69512022-01-01202210.1155/2022/3242809Complex Vascular Reconstruction of an En Bloc Pediatric Kidney Damaged during Organ ProcurementJuliano Riella0Marina M. Tabbara1Phillipe Abreu2Javier Gonzalez3Gaetano Ciancio4José Maria Figueiro5Department of SurgeryDepartment of SurgeryDepartment of SurgeryDepartment of UrologyDepartment of SurgeryDepartment of SurgeryEn bloc pediatric kidney (EBPK) allografts are a potential solution to expand the organ donor pool; however, EBPK transplantation has been traditionally considered suboptimal due to concerns of perioperative vascular and urologic complications. Accidental organ or vasculature injury during harvest is not uncommon; however, this does not necessarily mean that the organ should be discarded. Careful vascular reconstruction can be performed using donor vascular grafts, salvaging the organ without stenosis or thrombosis of the vessels. We report an extensive vascular reconstruction of the right renal artery, aorta, and inferior vena cava of a damaged EBPK allograft using a donor pediatric aorta vascular patch with the goal of avoiding postoperative vascular complications.http://dx.doi.org/10.1155/2022/3242809
spellingShingle Juliano Riella
Marina M. Tabbara
Phillipe Abreu
Javier Gonzalez
Gaetano Ciancio
José Maria Figueiro
Complex Vascular Reconstruction of an En Bloc Pediatric Kidney Damaged during Organ Procurement
Case Reports in Transplantation
title Complex Vascular Reconstruction of an En Bloc Pediatric Kidney Damaged during Organ Procurement
title_full Complex Vascular Reconstruction of an En Bloc Pediatric Kidney Damaged during Organ Procurement
title_fullStr Complex Vascular Reconstruction of an En Bloc Pediatric Kidney Damaged during Organ Procurement
title_full_unstemmed Complex Vascular Reconstruction of an En Bloc Pediatric Kidney Damaged during Organ Procurement
title_short Complex Vascular Reconstruction of an En Bloc Pediatric Kidney Damaged during Organ Procurement
title_sort complex vascular reconstruction of an en bloc pediatric kidney damaged during organ procurement
url http://dx.doi.org/10.1155/2022/3242809
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