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Successful Urgent Transplantation of an Adult Kidney into a Child with Inferior Vena Cava Thrombosis
Article first published online: 10 JUN 2009
DOI: 10.1111/j.1600-6143.2009.02687.x
© 2009 The Authors Journal compilation © 2009 The American Society of Transplantation and the American Society of Transplant Surgeons
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How to Cite
Stevens, R. B., Yannam, G. R., Hill, B. C., Rigley, T. H., Penn, D. M. and Skorupa, J. Y. (2009), Successful Urgent Transplantation of an Adult Kidney into a Child with Inferior Vena Cava Thrombosis. American Journal of Transplantation, 9: 1953–1956. doi: 10.1111/j.1600-6143.2009.02687.x
Publication History
- Issue published online: 16 JUL 2009
- Article first published online: 10 JUN 2009
- Received 26 February 2009, revised 25 March 2009 and accepted for publication 03 April 2009
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Keywords:
- Inferior vena cava;
- pediatric renal transplantation;
- thrombosis;
- venous drainage
IVC thrombosis need not preclude successful transplantation of adult-sized kidneys into children.
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.