Abdominal aortic aneurysmectomy with left-sided inferior vena cava and transplanted kidney

Aortic aneurysmectomy was performed in a 43-year-old man with left-sided in ferior vena cava (It-IVC) after renal transplantation 10 years before. In t he admission examination chronic rejection was found histopathologically. F or renal protection, a temporary heparin-coated shunt tube was used to main tain continuous blood flow to the transplanted kidney. The shunt was placed between the left brachial artery and the right external iliac artery, beca use there was no segment healthy enough for cannulation of the shunt tube a nd the It-IVC crossed over the aorta above the aneurysm. Aortic aneurysmect omy was performed without complications and perioperative renal function wa s satisfactorily maintained without progression of the chronic rejection.