This is a report on a surgery performed in Feburuary, 1995 describing the donation of a living donor's horseshoe kidney used for renal transplantation.
The recipient was a 31 years-old male on hemodialysis since 1994. The donor was the healthy 55 years-old father of the recipient who had an uncomplicated horseshoe kidney. The isthmus was perfused by an accessory artery. Via transperitoneal approach, the horseshoe kidney was mobilized for in situ perfusion. A microwave coagulator was used to divide the isthmus, and the cut surfaces were closed by mattress sutures and fibrin glue. The left kidney was transplanted into the recipient's right iliacfossa. While his post-transplant course was complicated by urinary leakage, the graft remained free of rejection until and beyond the 6 months post-transplant period when he was discharged at s-Cr 1.7mg/dl.
The donor's convalescence was uneventful. During the 20 months post-transplant period both the donor and recipient are doing well.
