AUTHOR=Russu Eliza , Mureșan Adrian Vasile , Kaller Reka , Toma Lucian , Coșarcă Cătălin Mircea , Chibelean Călin Bogdan , Arbănași Emil Marian , Arbănași Eliza Mihaela 

TITLE=Innovative Technical Solution Using the Renal Artery Stump after Nephrectomy as an Inflow Artery for Lower Limb Revascularization—A Case Report

JOURNAL=Frontiers in Surgery

VOLUME=Volume 9 - 2022

YEAR=2022

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2022.864846

DOI=10.3389/fsurg.2022.864846

ISSN=2296-875X

ABSTRACT=We present the case of a 56-years-old patient admitted to the vascular unit of Targu Mures County Emergency Clinical Hospital after a computed tomography angiography (CT angiography) performed for critical limb ischemia showed a tumor of the right kidney of 11,3/12/11 cm anteroposterior/later-lateral/craniocaudal (AP/LL/CC), accompanied by an abdominal aortic aneurysm (3 cm diameter) and right iliac artery occlusion. An interdisciplinary team formed of urological and vascular surgeons decided and performed a one-step operation. The right kidney was removed, and the limb revascularization was achieved by performing a bypass that used the right renal arterial stump as an inflow artery, thus a reno-femoral bypass. The abdominal aortic aneurysm had no indication for reconstruction. The final pathology interpretation of the kidney tumor revealed a clear cell renal cell carcinoma, excised with oncological safety margins. Short-term follow-up found the patient without ischemic symptomatology and the fully functional graft.