Abdominal Aortic Aneurysm Repair in a Renal Transplant Recipient: A Modified Pump-oxygenation Bypass Technique to Reduce Hypotension and Myocardial Ischaemia

Improving survival rates for renal transplant recipients (RTRs) mean that vascular surgeons will increasingly face repair of an abdominal aortic aneurysm (AAA) in the presence of a transplanted kidney. We describe a technique to reduce potential renal and myocardial ischaemia in a 74-year-old woman with a left iliac fossa renal transplant who underwent open AAA repair with perfusion of the transplant and left lower limb with pump-oxygenation bypass. This was associated with reduced blood pressure instability and biochemical derangement and no deterioration in renal function.