Abdominal aortic aneurysm repair in kidney transplant recipients is still a surgical challenge. We performed surgical repair in a 53-year-old man who had a type B chronic aortic dissection and had undergone kidney transplantation 6 years earlier because of chronic glomerulonephritis. Since he had both a thoracic descending aortic aneurysm and a huge abdominal aortic aneurysm, a staged repair was planned. At operation, after dissection around the transplanted kidney, the kidney was perfused with cold Ringer's solution and albumin. Aortic revascularization was accomplished with a Y-shaped graft. After prolonged rehabilitation and antibiotic treatment, he was discharged and was awaiting second-stage repair of the thoracic descending aortic aneurysm.
