Renal artery aneurysm in hand-assisted laparoscopic donor nephrectomy: case report

• Published in: Transplantation proceedings Vol. 35; no. 8; pp. 2858 - 2859
• Main Authors: Maciel, R.F, Branco, A.J, Branco, A.W, Guterres, J.C, Silva, A.E, Ramos, L.B, Rost, C, Vieira, C.A, Cicogna, P.E.S, Daudt, C.A, Deboni, L.M, Vieira, M.A, Luz, H.A, Vieira, J.A
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.12.2003; Elsevier Science
• Subjects: Aneurysm - complications; Biological and medical sciences; Blood and lymphatic vessels; Cardiology. Vascular system; Creatinine - blood; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous; Female; Humans; Kidney Transplantation - physiology; Laparoscopy - methods; Living Donors; Male; Medical sciences; Middle Aged; Nephrectomy - methods; Nephrology. Urinary tract diseases; Nephropathies. Renovascular diseases. Renal failure; Renal Artery; Renovascular diseases; Tissue and Organ Harvesting - methods; Treatment Outcome; Kidney disease; Endoscopic surgery; Urinary system disease; Renal artery; Living donor; Cardiovascular disease; Laparoscopy; Hand; Arterial disease; Vascular disease; Case study; Treatment; Nephrectomy; Endoscopy; Organ harvesting; Renal artery disease; Artery aneurysm
• ISSN: 0041-1345; 1873-2623
• DOI: 10.1016/j.transproceed.2003.10.010

We report a living donor who underwent laparoscopic nephrectomy using a hand-assisted device (HALD). At preoperative arteriography the donor showed a renal artery aneurysm. The patient was a 37-year-old female, 166 cm height, white, weighing 87 kg, HLA identical to the recipient. HALD was indicated due to the better visualization of renal pedicle and greater security in an obese patient. Renal artery aneurysm is a rare condition, with many possible complications. The method proved to be adequate and safe for donor nephrectomy, despite a renal artery aneurysm.