Renal Transplant in a Patient with Extensive Thrombosis of Inferior Vena Cava and Bilateral Iliofemoral Veins

Abstract

A 43-year-old male diagnosed with end-stage renal disease on hemodialysis with extensive thrombosis in the inferior vena cava and bilateral iliofemoral vein underwent renal transplantation at our institute. Thrombosis in the major vein can have serious consequences for the success of the transplantation. The common anastomosing vein during renal transplantation is the right external iliac vein, but due to extensive thrombosis, left native nephrectomy with the orthotopic placement of the donor kidney was done. During surgery, the donor renal vein was anastomosed with the left renal vein, and the donor renal artery was anastomosed with the aorta. Postsurgery, the creatinine level showed a progressive decline over time and the patient was discharged home.

Keywords

• anticoagulation
• deep-vein thrombosis
• inferior vena cava thrombosis
• renal transplantation