Renal artery reconstruction for fibromuscular dysplasia during a living donor kidney transplant - A case report

Fibromuscular dysplasia (FMD) of the donor renal artery may be encountered by transplant surgeons during kidney transplantation. Renal artery reconstr uction prior to transplantation is indicated to reduce the risk of renovasc ular hypertension and ischemic nephropathy. The authors report a patient wh o underwent living donor (LD) transplantation of a kidney with FMD, where t he artery was reconstructed with an internal iliac artery interposition gra ft harvested from the recipient. They conclude that this is a safe procedur e that results in a satisfactory outcome. Additionally, there may be a redu ced risk of progressive renovascular hypertension in the donor by eliminati ng FMD.