Renal vein thrombosis complicates less than 3% of transplants, typically as an early complication within the first postoperative week.
Renal vein thrombosis (RVT) is the second most common cause of thromboembolism in neonates after umbilical vein thrombosis with incidence of 10% of neonatal venous thromboembolism.
Retroaortic left
renal vein (RLRV) is one of the congenital anomalies of the left
renal vein that posteriorly travels to the aorta and is compressed between the aorta and vertebral body.
(c-d) ICG fluorescence demonstrated in the vessels alongside homogenous graft fluorescence (open arrow represents renal artery; closed arrow represents
renal vein).
The criteria proposed by the thrombotic storm study group (see Table 1) encircle the important features of young age, acute two or more arterial or venous thromboembolic locations, with or without microangiopathy, typically in a short span of time (days to 1-2 weeks), unusual location (other than pulmonary embolism, lower extremity deep vein thrombosis, myocardial infarction, and stroke) such as thrombosis of hepatic, cerebral, portal, or
renal veins, skin, and adrenal glands.
Ultrasound diagnosis was a thrombosis of the
renal vein with hypoperfusion of the renal artery.
Caption: Figure 2: Right-sided pyelonephritis with abscess and ipsilateral
renal vein thrombosis (white arrow).
At our institution, up to two renal arteries are usually selected in the left kidney as donors to secure a long
renal vein. In the case of two renal arteries, we normally connect the two arteries conjointly or side-to-end at the back table.
The tumour was arising in the renal pelvis with infiltration of the renal parenchyma and extension into renal sinus and the
renal vein. Carcinoma in situ involving the adjacent urothelium was noted (Figure 4).
Faitot et al., "Spontaneous splenorenal shunt in liver transplantation: results of left
renal vein ligation versus renoportal anastomosis," Transplantation, vol.
For a kidney transplant, usually the left kidney is taken, because the left
renal vein is significantly longer compared to the contra lateral vein, and therefore, the technique of the left LLDN is described in this paper.
Formation of gas may reach perirenal region,
renal vein, and inferior vena cava (Figure 4, 5).