PMC5645477_01
Schematic drawing depicts the steps of gonadal vein utilization to bypass the outflow obstruction.
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After flushing with heparinized saline, an end to side anastomosis was performed between the ovarian and renal vein using 6/0 Prolene in running fashion (Fig. 1).
Post-transplant MRI of abdomen demonstrates patent ovarian (blue arrow) and renal vein (yellow arrow). Note the ovarian vein dilation to compensate for the increase in renal blood flow. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)
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At four years follow-up, she has maintained adequate renal function with a stable serum creatinine (1.2 mg/dl) and patent renal allograft vessels (Fig. 2).