Open surgical repair of an abdominal aortic aneurysm in a renal transplant recipient

Abdominal aortic aneurysm (AAA) surgical repair in renal transplant recipients requires alternative techniques for the protection of the transplanted kidney against ischemia and reperfusion injury. In this report, we present a renal transplant recipient who underwent open surgical repair of an AAA. After aortic cross-clamping, cold Custodiol® solution was infused to the renal artery. Postoperative renal ultrasound showed normal parenchymal echo pattern, and biochemical markers of renal functions were found at normal levels.