Abstract
A 40-year-old man was transferred to our emergency unit complaining of severe left lower abdominal pain. He underwent a living renal transplant from his mother 8 years prior to admission. Preoperative abdominal computed tomography demonstrated ruptured abdominal aortic aneurysm. An emergency operation was performed. During aortic cross clamping, the kidney was protected with cold renal perfusion with 4 degree C ringer acetate by direct cannulation to the donor renal artery. Following aneurysmotomy, a prosthetic bifurcated graft was replaced in the aorta. He recovered uneventfully and his renal function returned to preoperative values.
