NIHR Great Ormond Street Hospital Biomedical Research Centre, University College London Great Ormond Street Institute of Child Health, London, WC1N 1EH, UK
Mr Martin Drage is a Consultant Transplant Surgeon Guy’s and St Thomas’ NHS Foundation Trust. He also runs a private clinic at the London Bridge Hospital. He specialises in all aspects of kidney transplant surgery including living kidney donation, as well as dialysis surgery and vascular access surgery. He also performs complex hernia repairs in transplant recipients and general abdominal hernia repair surgery.
Case Report
En-Bloc Kidney Transplant Using an Aortic Extension from a Paediatric Multi-Visceral Donor to a Paediatric Recipient
Author(s): Sergio Assia-Zamora*, Chris Callaghan, Ioannis Loukopoulos, Martin Drage, Michael Ramage, Steve Marks, Jelena Stojanovic, Francis Calder and Nicos Kessaris
Renal transplantation is the gold standard treatment for end stage kidney disease (ESKD) in children. EBKT from
small paediatric donors under five years of age and weighing less than 20 kg can be a good option for selected
paediatric renal transplant recipients. EBKT refers to transplantation of both kidneys from the same donor into a
single recipient. The utilisation of these organs has a higher risk of vascular thrombosis, stenosis and ureteral leak
in children.
We present the case of a successful EBKT, which was performed with an aortic extension using a segment of
the aortic arch since the donor operation included multivisceral donation requiring the patch of the Superior
Mesenteric Artery (SMA). This is the first description of utilising the thoracic aorta as an extension graft for EBKT
in paediatric multivisceral donor for a paediatric recipient.
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