Skip to main content
Annals of Surgery logoLink to Annals of Surgery
. 1974 Dec;180(6):823–826. doi: 10.1097/00000658-197412000-00004

Resection of Suprarenal Aortic Aneurysm With Autotransplantation of the Kidney

Panayiotis K Spanos, Martin M Mozes, John S Najarian
PMCID: PMC1343802  PMID: 4279633

Abstract

This is a report of a patient with renovascular hypertension associated with a suprarenal aortic aneurysm that was treated by nephrectomy, resection of the aneurysm and autotransplantation of the kidney. The autografted kidney was preserved on the Mox-100 perfusion-preservation apparatus for over four hours, during which time the aneurysm was resected and replaced with a Dacron bifurcated graft. The authors believe this is the safest method for the management of aneurysms of the suprarenal aorta, especially when associated with renovascular disease, and it deserves wider application in treating major renovascular disease.

Full text

PDF
823

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ABRAHAMS D. G., PARRY E. H. Hypertension due to renal artery stenosis caused by abdominal aortic aneurysm. Successful treatment by nephrectomy. Circulation. 1962 Jul;26:104–107. doi: 10.1161/01.cir.26.1.104. [DOI] [PubMed] [Google Scholar]
  2. Belzer F. O., Keaveny T. V., Reed T. W., Pryor J. P. A new method of renal artery reconstruction. Surgery. 1970 Oct;68(4):619–624. [PubMed] [Google Scholar]
  3. Belzer F. O., Kountz S. L. Preservation and transplantation of human cadaver kidneys: a two-year experience. Ann Surg. 1970 Sep;172(3):394–404. doi: 10.1097/00000658-197009000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Calne R. Y. Treatment of bilateral hypernephromas by nephrectomy, excision of tumour, and autotransplantation. Report of three cases. Lancet. 1973 Nov 24;2(7839):1164–1167. doi: 10.1016/s0140-6736(73)92936-x. [DOI] [PubMed] [Google Scholar]
  5. Calne R. Y. Tumour in a single kidney: nephrectomy, excision, and autotransplantation. Lancet. 1971 Oct 2;2(7727):761–762. doi: 10.1016/s0140-6736(71)92124-6. [DOI] [PubMed] [Google Scholar]
  6. Cho S. I., DerHagopian R. P., Krane R. S., Nabseth D. C. Regional organ preservation program in the New England area. Surgery. 1974 Apr;75(4):528–534. [PubMed] [Google Scholar]
  7. Clunie G. J., Hartley L. C., Collins G. M., Gordon R. D. Renovascular hypertension: the place of renal autotransplantation. Br J Surg. 1973 Jul;60(7):562–564. doi: 10.1002/bjs.1800600718. [DOI] [PubMed] [Google Scholar]
  8. Clunie G. J., Murphy K. J., Nicoll P., Lukin L., Marsden R. T. Autotransplantation of the kidney in the treatment of renovascular hypertension. Surgery. 1971 Mar;69(3):326–331. [PubMed] [Google Scholar]
  9. Corman J. L., Anderson J. T., Taubman J., Stables D. P., Halgrimson C. G., Popovtzer M., Starzl T. E. Ex vivo perfusion, arteriography, and autotransplantation procedures for kidney salvage. Surg Gynecol Obstet. 1973 Oct;137(4):659–665. [PMC free article] [PubMed] [Google Scholar]
  10. DECAMP P. T., BIRCHALL R. Recognition and treatment of renal arterial stenosis associated with hypertension. Surgery. 1958 Jan;43(1):134–152. [PubMed] [Google Scholar]
  11. DeBakey M. E., Crawford E. S., Garrett H. E., Beall A. C., Jr, Howell J. F. Surgical considerations in the treatment of aneurysms of the thoraco-abdominal aorta. Ann Surg. 1965 Oct;162(4):650–662. doi: 10.1097/00000658-196510000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Garrett H. E., Crawford E. S., Beall A. C., Jr, Howell J. F., De Bakey M. E. Surgical treament of aneurysm of the thoracoabdominal aorta. Surg Clin North Am. 1966 Aug;46(4):913–918. doi: 10.1016/s0039-6109(16)37935-x. [DOI] [PubMed] [Google Scholar]
  13. Gelin L. E., Claes G., Gustafsson A., Storm B. Total bloodlessness for extracorporeal organ repair. Rev Surg. 1971 Sep-Oct;28(5):305–316. [PubMed] [Google Scholar]
  14. HARDY J. D. High ureteral injuries. Management by autotransplantation of the kidney. JAMA. 1963 Apr 13;184:97–101. doi: 10.1001/jama.1963.03700150051008. [DOI] [PubMed] [Google Scholar]
  15. Kaufman J. J., Alferez C., Navarrete R. V. Autotransplantatio of a slitary functioning kidney for renovascular hypertension. J Urol. 1969 Aug;102(2):146–150. doi: 10.1016/s0022-5347(17)62099-8. [DOI] [PubMed] [Google Scholar]
  16. Marshall V. F., Whitsell J., McGovern J. H., Miscall B. G. The practicality of renal autotransplantation in humans. JAMA. 1966 Jun 27;196(13):1154–1156. [PubMed] [Google Scholar]
  17. Martínez-Piñeiro J. A., Sánchez Sicilia L. Kidney autotransplantation for the treatment of renal artery stenosis: report of two cases. J Urol. 1972 Jul;108(1):35–39. doi: 10.1016/s0022-5347(17)60636-0. [DOI] [PubMed] [Google Scholar]
  18. Moberg A. W., Mozes M. F., Campos R. A., Santiago E. A., Najarian J. S. Simplification of organ preservation techniques: experimental and clinical experience. Transplant Proc. 1972 Dec;4(4):611–615. [PubMed] [Google Scholar]
  19. Moberg A. W., Santiago E. A., Mason R. V., Mozes M. F., Campos R. A., Najarian J. S. Transportable organ-perfusion system for kidney preservation. Lancet. 1971 Dec 25;2(7739):1403–1405. doi: 10.1016/s0140-6736(71)90674-x. [DOI] [PubMed] [Google Scholar]
  20. Ota K., Mori S., Awane Y., Ueno A. Ex situ repair of renal artery for renovascular hypertension. Arch Surg. 1967 Mar;94(3):370–373. doi: 10.1001/archsurg.1967.01330090064016. [DOI] [PubMed] [Google Scholar]
  21. SHERANIAN L. O., EDWARDS J. E., KIRKLIN J. W. Late results in 110 patients with abdominal aortic aneurysm treated by resectional placement of aortic homograft. Surg Gynecol Obstet. 1959 Sep;109:309–314. [PubMed] [Google Scholar]
  22. Sinaiko A., Najarian J., Michael A. F., Mirkin B. L. Renal autotransplantation in the treatment of bilateral renal artery stenosis: relief of hypertension in an 8-year-old boy. J Pediatr. 1973 Sep;83(3):409–413. doi: 10.1016/s0022-3476(73)80263-x. [DOI] [PubMed] [Google Scholar]
  23. Tilney N. L., Bailey G. L., Morgan A. P. Sequential system failure after rupture of abdominal aortic aneurysms: an unsolved problem in postoperative care. Ann Surg. 1973 Aug;178(2):117–122. doi: 10.1097/00000658-197308000-00001. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES