Journal de médecine vasculaire et de chirurgie

Abstrait

En-Bloc Kidney Transplant Using an Aortic Extension from a Paediatric Multi-Visceral Donor to a Paediatric Recipient

Sergio Assia-Zamora*, Chris Callaghan, Ioannis Loukopoulos, Martin Drage, Michael Ramage, Steve Marks, Jelena Stojanovic, Francis Calder, Nicos Kessaris

Renal transplantation is the gold standard treatment for end stage kidney disease (ESKD) in children. EBKT from small paediatric donors under five years of age and weighing less than 20 kg can be a good option for selected paediatric renal transplant recipients. EBKT refers to transplantation of both kidneys from the same donor into a single recipient. The utilisation of these organs has a higher risk of vascular thrombosis, stenosis and ureteral leak in children.

We present the case of a successful EBKT, which was performed with an aortic extension using a segment of the aortic arch since the donor operation included multivisceral donation requiring the patch of the Superior Mesenteric Artery (SMA). This is the first description of utilising the thoracic aorta as an extension graft for EBKT in paediatric multivisceral donor for a paediatric recipient.

The aorta was reconstructed and the en-bloc kidneys were successfully implanted into the left iliac fossa onto the iliac vessels.