Surgical treatment of aortoiliac aneurysms in renal transplant patients.

Purpose: The purpose of this study was to report our experience of surgical treatment of aortoiliac aneurysms in kidney transplant patients, to describe technical problems of this surgery, to evaluate its long-term outcome, and to discuss the place of endovascular repair.

Methods: Eighteen patients who had undergone renal transplantation 3 months to 23 years earlier (mean: 6 years) were operated on for an aortoiliac aneurysm. In 15 patients (83%), no protective measure of the kidney was used.

[Renal and aortic involvement in Takayasu's disease].

From 1972 to 2003, we surgically treated 25 patients (17 females) for aortic and renal complications of Takayasu's disease. Their mean age was 18.5 +/- 11.

[Iatrogenic vascular injuries].

Seventy-eight iatrogenic vascular injuries were studied from 1970 to 2003. The sex ratio was close to 1, and the mean age was 45.7 +/- 24.

Surgical revascularization of renal artery after complicated or failed percutaneous transluminal renal angioplasty.

Purpose: The purpose of this study was to evaluate the feasibility and effectiveness of surgical reconstruction of the renal artery after complicated or failed percutaneous transluminal renal angioplasty (PTRA).

Methods: This was a retrospective study of 45 consecutive patients who were referred to our centers for surgical renal artery reconstruction after 52 complicated or failed PTRA procedures performed between 1980 and 2003. There were 27 women and 18 men, with a median patient age of 28 years (25th percentile, 13.

[Congenital malformations of the abdominal aorta].

Thirty-four patients with a congenital malformation of the abdominal aorta were observed from 1970 to 2002. Thirty-two patients had associated lesions of the renal artery (ies) and 13 had lesions of the splanchnic arteries. Arterial hypertension was present in 32 patients, and two patients had intermittent claudication in the lower limbs.

[Arterial complications after renal transplantation].

We report our experience of surgical treatment of arterial complications after renal transplantation, in 154 patients operated on between 1970 and 2003. The arterial complication was discovered during a routine post-transplant check-up, or when the patient developed clinical manifestations (arterial hypertension, impaired renal function, arterial symptoms in the lower limbs), or following a septic complication. The following lesions were surgically managed: mycotic aneurysms (N = 5), atherosclerotic aneurysms (N = 13) or obstructions (N = 11) of the aorta and iliac arteries, and stenoses of the artery supplying the grafted kidney (N = 125).

[Role of surgery in the treatment of renovascular hypertension in the child].

The aim of this retrospective study was to report our experience of the surgical treatment of renovascular hypertension in children and to define the role of surgery in the treatment of this form of hypertension. The author's series included 83 patients (49 girls, 34 boys), 28 months to 18 years of age (mean: 10.3) operated on from 1970 to 2001.