Liver-Kidney Transplantation in Monoblock: a Technical Solution for Iliac Site with Advanced Atherosclerosis

Abstract

Objectives: Report the first case of a combined transplant – liver and kidney – in a single block as a surgical alternative in a patient with advanced atherosclerosis and extensive calcification of aortoiliac arterial vessels. Methods: Information was obtained through a medical record review, interviews with the patient, image records of the diagnostic procedures, and a literature review. Conclusion: The described surgical technique may represent an efficient and safe alternative when arterial or venous anastomosis is impossible due to anatomical challenges due to previous vascular disease.