Case report reveals catastrophic arterial thrombosis during kidney transplantation, suggesting need for awareness of segmental arterial mediolysis.
Key Points
This case report aims to highlight the occurrence of segmental arterial mediolysis in a renal allograft during transplantation, questioning the mechanisms behind early graft failure.
Presentation of a kidney graft from a deceased donor transplanted into a recipient
Assessment of immunological compatibility, ischemia times, and intraoperative flow measurements
Histopathological examination of graft arterial tissue following observed thrombosis
Thrombosis of the graft renal artery occurred immediately after declamping despite surgical intervention.
Histopathological findings indicated characteristics of segmental arterial mediolysis, including arterial dissection and occlusive thrombosis.
The graft was ultimately explanted and deemed unsalvageable.