ILIAC RECONSTRUCTION WITH ARTERIAL ALLOGRAFT DURING PANCREAS-KIDNEY TRANSPLANTATION

An intraoperative dissection of the external iliac artery during pancr eas transplantation was successfully repaired using the donor iliac ar tery allograft as a conduit between the internal iliac and distal exte rnal iliac artery. An angiogram performed 6 months after surgery showe d a patent bypass without stricture or pseudoaneurysm. At 1 yr follow- up after transplant the grafts are functioning well, and the affected extremity is normal. In immunosuppressed recipients of solid organ tra nsplants, fresh arterial allografts may be successfully used for iliac artery reconstruction. Further study will be needed to determine the role of arterial allografts for lower extremity bypass surgery in immu nosuppressed patients.