Fig. 3

Representative macroscopic images of the allograft and injured transplant kidney artery. Immediately after vascular anastomosis (internal iliac artery-renal artery, external iliac vein-renal vein), Doppler ultrasonography shows an increase in the systolic blood velocity; thus, arterial anastomotic stenosis was suspected and explored. As a result, a color change is observed at the transplanted renal artery (red arrow). The cause of transplant renal artery stenosis was artery dissection (a whole image; b magnified image). Resected transplant renal artery was cut vertically, and artery dissection was observed macroscopically (blue arrow: c)