ABDOMINAL AORTIC ANEURYSECTOMY AFTER KIDNEY-TRANSPLANTATION - CASE-REPORT AND REVIEW OF THE LITERATURE

Abdominal aortic aneurysms have been a rare finding in patients who ha ve previously undergone renal transplantation. Previous operative stra tegies attempting to provide renal allograft protection during aortic cross-clamping have included extra-anatomic permanent as well as tempo rary bypass, heparin bonded shunts, in situ perfusion cooling of the a llograft, and general hypothermia. These manuvers, although generally successful, have recently been challenged by reports describing no spe cific protective measures. A case of a 5.0 cm but rapidly expanding ab dominal aortic aneurysm in a patient who had undergone a prior success ful kidney transplant is presented along with a literature review of 2 7 available cases on the subject.