Renal transplantation in a patient with aortoiliac prosthetic graft is a unique challenge. It requires\nthat the renal artery is anastomosed directly to the vascular prosthetic graft. Nearly 0.2% - 1.7%\nof the patients with aortoiliac prosthesis require renal transplantation in their life time. Outcomes\nfollowing such procedure are controversial and anecdotal. In this report we present a unique case\nin which the renal artery was anastomosed to vascular prosthetic graft with a pertinent review of\nthe literature.
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