Aortobifemoralna rekonstrukcija i transplantacija bubrega kod bolesnika sa aneurizmom abdominalne aorte i okluzijom ilijačnih arterija

  • Aleksandar Tomić Clinic for Vascular and Endovascular Surgery; Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
  • Novak Milović Clinic for Urology, §Clinic for Nephrology, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
  • Ivan Marjanović Clinic for Vascular and Endovascular Surgery; Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
  • Ivan Leković Clinic for Vascular and Endovascular Surgery; Military Medical Academy, Belgrade, Serbia
  • Zoran Bjelanović Clinic for Vascular and Endovascular Surgery, Military Medical Academy, Belgrade, Serbia
  • Momir Šarac Clinic for Vascular and Endovascular Surgery, Military Medical Academy, Belgrade, Serbia
  • Neven Vavić Clinic for nephrology, Military Medical Academy, Belgrade, Serbia
  • Ljiljana Ignjatović Clinic for nephrology, Military Medical Academy, Belgrade, Serbia
  • Dušica Stamenković Clinic for Anesthesia and Intensive Care, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
  • Saša Micković Clinic for vascular and endovascular surgery, Military Medical Academy, Belgrade, Serbia
DOI: https://doi.org/10.2298/VSP140609139T
Ključne reči: atherosclerosis||, ||ateroskleroza, iliac artery||, ||a. iliaca, aortic aneurysm, abdominal||, ||aorta, abdominalna, aneurizma, renal dialysis||, ||hemodijaliza, comorbidity||, ||komorbiditet, vascular surgical procedures||, ||hirurgija, vaskularna, procedure, kidney transplantation||, ||transplantacija bubrega,

Sažetak


Uvod. Okluzivna aortoilijačna bolest i aneurizma abdominalne aorte kod bubrežnih bolesnika na hemodijalizi mogu značajno uticati na uspešnost transplantacije bubrega. Ne tako davno, uznapredovala ateroskleroza bila je kontraindikacija za transplantaciju bubrega, jer značajno otežava kreiranje vaskularne anastomoze, a okluzivna, odnosno aneurizmatska bolest nastavlja tok. Prikaz bolesnika. Bolesnik, star 52 godine, sa petogodišnjom istorijom terminalne bubrežne bolesti na hemodijalizi, bio je prethodno odbijen za transplantaciju bubrega zbog teške aortoilijačne ateroskleroze i aneurizme abdominalne aorte. To je prvi slučaj vaskularne resekcije aneurizme abdominalne aorte udružene sa aortoilijačnom okluzivnom bolešću u našoj zemlji i rekonstrukcije sa aortobifemoralnim sintetskim graftom koja je prethodila kadaveričnoj transplantaciji bubrega. Zaključak. Uznapredovala aterosklerotska bolest aortoilijačnog segmenta zahteva elektivnu vaskularnu hirušku rekonstrukciju koja bi trebalo da prethodi transplantaciji bubrega kod bolesnika sa terminalnom bubrežnom insuficijencijom

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Objavljeno
2017/05/30
Broj časopisa
Vol. 74 Br. 1 (2017)
Rubrika
Prikaz bolesnika