Use of Superior Mesenteric Vein for Renal Transplant Venous Outflow in a Patient with Extensive Inferior Vena Cava Thrombosis; a Case Report

Nalaka Gunawansa

Department of Endovascular and Transplant Surgeon, Sri Lanka

^*Correspondance to: Nalaka Gunawansa 

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Abstract:

In patients with end stage renal failure having native iliac vein and inferior vena caval thrombosis, renal transplantation becomes a significant challenge with limited options for technical success. Alternate vascular beds need to be explored as venous outflow channels for the prospective allograft. The portal-mesenteric system is often spared in systemic venous thrombotic disease, offering an alternate venous outflow route. This requires careful planning and meticulous surgical expertise to achieve technical and functional success. Although lacking large numbers and long-term follow up, available results are encouraging and offers hope to such patients. We present our experience with such a patient where transplantation was done using the superior mesenteric vein and remains well at 15 months follow up.

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Cite the Article:

Gunawansa N. Use of Superior Mesenteric Vein for Renal Transplant Venous Outflow in a Patient with Extensive Inferior Vena Cava Thrombosis; a Case Report. World J Surg Surgical Res. 2018; 1: 1032.