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Presentation and management of mycotic pseudoaneurysm after kidney transplantation
Author(s) -
Patrono D.,
Verhelst R.,
Buemi A.,
Darius T.,
Godefroid N.,
Mourad M.
Publication year - 2015
Publication title -
transplant infectious disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 67
eISSN - 1399-3062
pISSN - 1398-2273
DOI - 10.1111/tid.12346
Subject(s) - medicine , surgery , pseudoaneurysm , presentation (obstetrics) , transplantation , ligation , anastomosis , complication , kidney transplantation , radiology
Pseudoaneurysms ( PA s) developing at the site of vascular anastomosis after organ transplantation are a rare but serious complication. We report a series of 3 cases of PA observed in a single center over a period of 18 years. The mode of presentation was acute bleeding in 2 cases. In the third patient, who underwent combined kidney and pancreas transplantation, the PA on the renal graft was discovered by chance. Graft removal associated with iliac artery ligation and extra‐anatomic femoro‐femoral bypass represents the standard treatment. However, interposition of a venous homograft may allow preservation of inferior limb perfusion and possibly graft salvage.