Studies on aortoiliac reconstruction for severe atherosclerosis with renal transplantation are limited. Here, we report a rare experience\nof the simultaneous reconstruction of the external iliac artery caused by severe atherosclerosis with polytetrafluoroethylene\nvascular graft and renal transplantation in a 55-year-old female; she was unable to undergo standard renal artery anastomosis to the\nright external iliac artery because of severe atherosclerosis,whichwould result in complete occlusion.Next,we directly anastomosed\nthe donor renal artery to the polytetrafluoroethylene graft. After transplantation, delayed graft function occurred; therefore, the\npatient had to undergo hemodialysis. On day 7 after transplantation, her creatine level started to decrease. She was discharged from\nthe hospital on the 14th day after transplantation. After 1 month, her serum creatinine level reduced to 1.12mg/dL. After 3 years of\ntransplantation, her serum creatinine level was 1.2mg/dL. The simultaneous implantation of the polytetrafluoroethylene graft and\nrenal transplantation was feasible as well as safe, with no infectious complications and stable renal function noted on long time\nfollow-up. Although our case was rare, it emphasizes the need for transplant surgeons to gain surgical skills for vascular surgery\nusing vascular grafts.
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