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Article
Successful Urgent Transplantation of an Adult Kidney into a Child with Inferior Vena Cava Thrombosis
American Journal of Transplantation
  • R. Brian Stevens, Wright State University
  • Govardhana R. Yannam
  • Brett C. Hill
  • Theodore H. Rigley
  • David M. Penn
  • Jill Y. Skorupa
Document Type
Article
Publication Date
8-1-2009
Abstract

Poor venous drainage options following inferior vena cava (IVC) thrombosis have been considered to complicate or preclude renal transplantation of adult kidneys into pediatric patients. We describe urgent renal transplantation in a 5-year-old (15.3 kg) male with IVC thrombosis using an adult living donor. Preoperative magnetic resonance venography revealed a patent infrahepatic/suprarenal vena cava and portal system. In surgery, the right liver lobe was mobilized sufficiently to anastomose the graft renal vein to the native IVC at the confluence of the native left renal vein and proximal vena cava. Graft function has remained excellent with serum creatinine of 0.5 mg/dL at 36 months. IVC thrombosis need not preclude successful transplantation of adult-sized kidneys into children.

DOI
10.1111/j.1600-6143.2009.02687.x
Citation Information
R. Brian Stevens, Govardhana R. Yannam, Brett C. Hill, Theodore H. Rigley, et al.. "Successful Urgent Transplantation of an Adult Kidney into a Child with Inferior Vena Cava Thrombosis" American Journal of Transplantation Vol. 9 Iss. 8 (2009) p. 1953 - 1956 ISSN: 1600-6135
Available at: http://works.bepress.com/r_stevens/85/