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Successful treatment of mycotic hepatic artery pseudoaneurysms with arterial reconstruction and liposomal amphotericin B
Author(s) -
Rudich Steven M.,
Kinkhabwala Milan M.,
Murray Natalie G.,
See Darryl M.,
Busuttil Ronald W.,
Imagawa David K.
Publication year - 1998
Publication title -
liver transplantation and surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1074-3022
DOI - 10.1002/lt.500040113
Subject(s) - medicine , surgery , hepatorenal syndrome , amphotericin b , mycotic aneurysm , liver transplantation , artery , aneurysm , transplantation , antifungal , ascites , dermatology
A 55‐year‐old woman developed end‐stage liver disease and the hepatorenal syndrome secondary to cryptogenic cirrhosis. Orthotopic liver transplantation was complicated by bile peritonitis, requiring reoperation and eventual placement of an internal biliary stent. On postoperative day 26, hemobilia was caused by localized rupture of mycotic ( Aspergillus fumigatus ) hepatic artery pseudoaneurysms with fistulization into the biliary tree. After arterial reconstruction with a reversed autologous saphenous vein graft, the patient was treated successfully with liposomal amphotericin B.