Acute graft thrombosis in a patient with factor V Leiden mutation: A case report and review of literature

Figure 1  Computed tomography angiography scan depicted the anatomical configuration of the donor renal arteries.

Figure 2 Three-dimensional reconstruction of computed tomography angiography illustrating the anatomical configuration of the donor renal arteries. A: Anterior view; B: Anterior view with the left renal vein digitally removed to highlight the left renal arteries.

Figure 3 Back-table preparation showed transposition of the inferior polar artery into the main renal artery. A: Schematic Illustration; B: Perioperative image.

Figure 4  Anatomical configuration of the renal allograft in the right iliac fossa, showing end-to-side anastomosis of the renal vein to the external iliac vein and end-to-side anastomose of the main renal artery to the external iliac artery.

Figure 5 Steps of arterial thrombectomy of the main and inferior polar renal arteries. A: Thrombosed principal and accessory renal arteries; B-D: Dismantling of the arterial anastomosis; E and F: Thrombectomy of both arteries; G: Renal arteries cleared of thrombus.

Figure 6  Cold perfusion of the kidney using heparinized saline combined with a vasodilator solution through a venotomy.

Figure 7 Anatomical configuration of the renal allograft in the right iliac fossa, showing end-to-side anastomosis of the renal vein to the external iliac vein, and separate end-to-side anastomoses of the main renal artery and the inferior polar artery to the external iliac artery. A: Schematic illustration; B: Peri-operative photograph.