Abstract
The physiological adaptation capability of any living being is necessary for survival. Vascular collaterals are proven to be maintaining organ perfusion in various situations such as ischemic heart disease, cerebrovascular disease, and peripheral vascular diseases. We are presenting here a postrenal transplant case with renal graft perfused by collaterals because of the complete occlusion of right common iliac artery. This was diagnosed while the patient presenting with right lower limb claudication pain. He required femoro-femoral graft to perfuse the right lower limb. The importance of pretransplant iliac vessels imaging and Doppler studies is emphasized.
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