arrhythmia. This case proves that although TRAS usually presents at 3 to 12 month post kidney transplant, it may occur earlier. The case gives importance to a multidisciplinary approach in the diagnosis and management of TRAS. Doppler ultrasound is essential in the early detection, however, Renal CT angiogram is the imaging of choice for the confirmatory diagnosis. TRAS is potentially catastrophic but the early diagnosis and prompt medical-surgical intervention with amlodipine and renal angioplasty can lead to improved allograft survival and good prognosis for the patient.