Abdominal aortic aneurysm repair in a renal transplant recipient using a femoral V-A bypass.

We report a successful repair of an abdominal aortic aneurysm (AAA) in a renal transplant recipient using a femoral V-A bypass to protect the renal allograft during aortic cross-clamping. A 49-year-old male patient with renal failure had received a second allogenic renal transplantation in the right iliac fossa in 2002. Four years later, computed tomography showed an enlargement of the AAA extending to the distal aorta with involvement of the common iliac arteries. He received resection and graft replacement of the AAA through a midline laparotomy using a femoral V-A bypass without cold perfusion or local hypothermia. The postoperative course was uneventful, and he was discharged on the 16th postoperative day with no impairment of renal function. To protect the renal allograft injury during aortic cross-clamping, the femoral V-A bypass is an easy and safe method.