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CASE REPORT
Cost of a delay
  1. Aditya Pradhan1,
  2. Yajvender Pratap Singh Rana1,
  3. Harish K Sinha1 and
  4. Sunny Goel2
  1. 1 Department of Urology and Renal Transplant, BLK Superspeciality Hospital, New Delhi, India
  2. 2 Department of Urology, King George Medical University, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Sunny Goel, drsunnygoel09{at}gmail.com

Abstract

Abandoning a renal transplant operation during a live-related transplant is a rare occurrence. We recently encountered a case of previously undiagnosed coarctation of aorta (CoA) in the recipient during surgery. This was diagnosed by the absence of femoral pulses, a Doppler scan showing monophasic flows bilaterally in the iliac arteries and a difference in the mean arterial pressure between the radial artery and iliac artery of 50 mm Hg. The donor and recipient surgery were abandoned. A CT aortogram was done on the recipient which showed a tight CoA. An angioplasty was performed and a bare metal stent placed for correction of CoA. After a week, transplantation was performed, and the patient made an uneventful recovery. This case highlights the importance of assessment of the peripheral pulses and noting a radiofemoral delay, which was missed in the preoperative assessment.

  • hypertension
  • renal system
  • transplantation
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Footnotes

  • Contributors All of the authors declare that they have all participated in the design, execution and analysis of the paper, and that they have approved the final version. AP and YPSR contributed to concept, design, supervision, processing, writing the manuscript and critical analysis; HKS contributed to supervision, processing, writing the manuscript and critical analysis; SG contributed to concept, supervision, writing the manuscript and critical analysis.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Disclaimer All the authors state that manuscript, including related figures has not been previously published or accepted for publication and is not submitted or under simultaneous review for publication elsewhere.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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