Successful Use of the Dilated Right Spermatic Cord Vein for Renal Transplantation in a Patient with Congenital Hypoplasia of the Inferior Vena Cava

• Published in: Transplantation proceedings Vol. 43; no. 10; pp. 4002 - 4004
• Main Authors: Guo, F.F, Shao, Z.Q, Li, H.L, Wang, G.J, Zhu, W.B
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier Inc 01.12.2011; Elsevier
• Subjects: Adult; Biological and medical sciences; Dilatation, Pathologic; Fundamental and applied biological sciences. Psychology; Fundamental immunology; Glomerulonephritis - complications; Humans; Kidney Transplantation - methods; Living Donors; Male; Medical sciences; Phlebography - methods; Renal Insufficiency - etiology; Renal Insufficiency - surgery; Spermatic Cord - blood supply; Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the urinary system; Tissue, organ and graft immunology; Tomography, Spiral Computed; Treatment Outcome; Vascular Malformations - complications; Vascular Malformations - diagnostic imaging; Veins - pathology; Veins - surgery; Vena Cava, Inferior - abnormalities; Vena Cava, Inferior - diagnostic imaging; Human; Hypoplasia; Congenital; Stem cell; Use; Hematopoietic cell; Right; Patient; Homotransplantation; Congenital disease; Kidney; Medicine; Blood cell; Treatment; Urinary system; Malformation; Surgery; Spermatic vein; Graft; Spermatic cord; Kidney transplantation; Inferior vena cava
• ISSN: 0041-1345; 1873-2623
• DOI: 10.1016/j.transproceed.2011.09.077

Abstract A 29-year-old man was admitted to our department with renal failure secondary to glomerulonephritis. No history of deep venous thromboses was reported, and no iliac vessel abnormality was evident on routine ultrasound (B-mode) examination before the operation. Transplantation of his mother's left kidney revealed occlusion of his common iliac vein and distal inferior vena cava (IVC). The right spermatic cord vein was noted to be dilated and suitable for venous drainage of the allograft, which was accomplished by an end-to-side anastomosis between the renal vein and the right spermatic cord vein. The allograft showed immediate function; serum creatinine was decreased to a normal value at 5 days after surgery. After the operation, a vascular spiral computerized tomographic 3-dimensional reconstruction showed absence of the infrarenal IVC with the right spermatic cord vein draining into the end of IVC. Physical examination revealed a right-side varicocele with dilated epigastric vein. The donor kidney slower normal values upon routine follow-up at 2 years after the operation.