<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1646-706X</journal-id>
<journal-title><![CDATA[Angiologia e Cirurgia Vascular]]></journal-title>
<abbrev-journal-title><![CDATA[Angiol Cir Vasc]]></abbrev-journal-title>
<issn>1646-706X</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Angiologia e Cirurgia Vascular]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1646-706X2021000200142</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Kinking da artéria renal pós-transplante na dependência da posição do doente: caso-clínico]]></article-title>
<article-title xml:lang="en"><![CDATA[Post-transplant renal artery kinking associated with the patient&amp;apos;s position: case-report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendes]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Machado]]></surname>
<given-names><![CDATA[Rui]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Veiga]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Veterano]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rocha]]></surname>
<given-names><![CDATA[Henrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castro]]></surname>
<given-names><![CDATA[João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinelo]]></surname>
<given-names><![CDATA[Andreia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[Henrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[Rui de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar Universitário do Porto Department of Angiology and Vascular Surgery ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,University of Porto Institute of Biomedical Sciences Abel Salazar ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>17</volume>
<numero>2</numero>
<fpage>142</fpage>
<lpage>145</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S1646-706X2021000200142&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S1646-706X2021000200142&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S1646-706X2021000200142&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  O kinking da artéria renal pós-transplante é uma complicação rara, geralmente associada à disfunção precoce do enxerto.  Métodos:  Apresentamos um caso clínico de um kinking da artéria renal pós-transplante com uma apresentação clínica incomum. Foi realizada uma revisão dos registos clínicos com o consentimento do doente.  Resultados:  Homem de 52 anos com doença renal terminal secundária a nefropatia por IgA foi submetido a transplante renal de doador cadavérico. O doente apresentou boa função renal no pós-operatório, no entanto, após três meses iniciou uma redução gradual da diurese e agravamento da função renal a necessitar de permanecer em "posição de cócoras" 5 horas por dia para manter um débito urinário adequado. Foi realizada uma pontagem entre a artéria ilíaca externa esquerda e a artéria renal do enxerto com veia grande safena autóloga para correção de um kinking da artéria renal com recuperação da função do enxerto.  Conclusão:  A torção da artéria renal comumente manifestada como disfunção do enxerto renal pode-se apresentar de forma singular. A intervenção precoce é essencial para preservar a viabilidade do enxerto.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Transplant renal artery kinking is an unusual post-kidney transplant complication usually associated with early graft dysfunction.  Methods:  We present an unusual clinical manifestation of post-transplant renal artery kinking. A review of the clinical process was made with patient consent.  Results:  A 52-year-old male with end-stage renal disease secondary to IgA nephropathy was submitted to cadaveric donor kidney transplant. The patient had good renal function postoperatively, however, after three months the patient began a gradual reduction of diuresis and worsening of renal function, needing to remain in a &#8220;squatting position&#8221; 5 hours a day to maintain a normal urine output. A bypass between the left external iliac artery and the graft renal artery with an ipsilateral autologous great saphenous vein was made to correct a renal artery kinking and the patient fully recovered.  Conclusion:  Renal artery kinking commonly manifested as renal graft dysfunction may have a singular form of presentation. Early intervention is essential to preserve graft viability.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Transplante Renal]]></kwd>
<kwd lng="pt"><![CDATA[Artéria renal]]></kwd>
<kwd lng="pt"><![CDATA[Obstrução da Artéria Renal]]></kwd>
<kwd lng="pt"><![CDATA[Cirurgia vascular]]></kwd>
<kwd lng="en"><![CDATA[Kidney Transplantation]]></kwd>
<kwd lng="en"><![CDATA[Renal Artery]]></kwd>
<kwd lng="en"><![CDATA[Renal Artery Obstruction]]></kwd>
<kwd lng="en"><![CDATA[Vascular surgery]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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