doiSerbia

En block paired cadaveric renal transplantation from an 18-months-old infant as a donor to an adult recipient: Case report and literature review

Tomić Aleksandar (Military Medical Academy, Clinic for vascular and endovascular surgery, Belgrade + University of Defence, Belgrade)
Marjanović Ivan (Military Medical Academy, Clinic for vascular and endovascular surgery, Belgrade + University of Defence, Belgrade)
Micković Saša (Military Medical Academy, Clinic for vascular and endovascular surgery, Belgrade + University of Defence, Belgrade)

Introduction. Even in the modern era of kidney transplantation, the use of small grafts from pediatric cadaver donors remains controversial. This kind of transplantation is rare and, to date, limited data are presented. Major problems with infant kidney transplantation are difficulties in performing vascular anastomosis, vasospasm, renal vein thrombosis, and small infant kidneys with poor venous runoff. However, en bloc infant kidney transplantation could resolve this problems. Case outline. We report on transplantation of en bloc cadaver kidneys from an 18-month-old infant. The transplant recipient was a 32-year-old male, with a body weight of 65 kg. Abdominal ultrasonography showed kidneys growing, and no hydronephrosis, perirenal, or retroperitoneal collections were seen. Conclusion. Transplantation of infantile kidneys en bloc in our adult recipient provided good results. The follow-up will show the final effect.

Keywords: kidney transplantation, methods, dual kidney transplant, paediatric kidney donor, patient selection