Liver-Kidney Transplantation in Monoblock: a Technical Solution for Iliac Site with Advanced Atherosclerosis

Authors

Keywords:

Combined Liver-Kidney Transplant

Abstract

Objectives: Report the first case of a combined transplant – liver and kidney – in a single block as a surgical alternative in a patient with advanced atherosclerosis and extensive calcification of aortoiliac arterial vessels. Methods: Information was obtained through a medical record review, interviews with the patient, image records of the diagnostic procedures, and a literature review. Conclusion: The described surgical technique may represent an efficient and safe alternative when arterial or venous anastomosis is impossible due to anatomical challenges due to previous vascular disease.

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References

Singal AK, Ong S, Satapathy SK, Kamath PS, Wiesner RH. Simultaneous liver kidney transplantation. Transpl Int 2019;32:343-52. http://doi.org/10.1111/tri.13388

Veras FJO, Coelho GR, Feitosa-Neto BA, Cerqueira JBG, Garcia RCFG, Garcia JHP. Combined liver-kidney transplantation: experience at a Brazilian university hospital. Arq Bras Cir Dig 2014;27(1):53-55. http://doi.org/10.1590/s0102-67202014000100013

Tefilli NL, Bassani DCH, Furlan GF, Peixoto IL, Araðjo KWCS, Billó L. Transplante duplo fígado-rim em bloco – Descrição da técnica cirúrgica e experiência inicial. Apresentado no 21º Congresso Brasileiro de Transplantes. Associação Brasileira de Transplante de Órgãos; Florianópolis. 2023 [acesso em 13 Abr 2024]. Disponível em: https://atep.iweventos.com.br/evento/abto2023/trabalhosaprovados/naintegra/4456

Tavares MGT. Avaliação clínica do candidato a receptor de transplante renal. In: Pestana JM, Moura LRR, Freitas TVS, Silva HT. Transplante renal. Manual prático. Uso diário ambulatorial e hospitalar. 2ª ed. Cap. 6. Piracicaba: Balieiro; 2022. p. 1-2.

Sociedade Brasileira de Nefrologia, Sociedade Brasileira de Urologia. Transplante renal: indicações e contra-indicações. São Paulo: SBN/SBU; 2006.

Published

2024-07-03

How to Cite

Veloso, L. F., Angeli, B. D. M. ., Veloso, J. P. D., & Veloso, M. D. (2024). Liver-Kidney Transplantation in Monoblock: a Technical Solution for Iliac Site with Advanced Atherosclerosis. Brazilian Journal of Transplantation, 27. Retrieved from https://bjt.emnuvens.com.br/revista/article/view/597

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Section

Case Report