© 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd Transplant Infectious Disease, ISSN 1398-2273
Case report
Presentation and management of mycotic pseudoaneurysm after kidney transplantation D. Patrono, R. Verhelst, A. Buemi, T. Darius, N. Godefroid, M. Mourad. Presentation and management of mycotic pseudoaneurysm after kidney transplantation. Transpl Infect Dis 2015: 17: 129–136. All rights reserved Abstract: Pseudoaneurysms (PAs) 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.
D. Patrono1, R. Verhelst2, A. Buemi1, T. Darius1, N. Godefroid3, M. Mourad1 1
Department of Surgery, Surgery and Abdominal Transplantation Division, Cliniques Universitaires SaintLuc, Universite Catholique de Louvain, Brussels, Belgium, 2 Department of Cardio-Vascular Surgery, Cliniques Universitaires Saint-Luc, Universite Catholique de Louvain, Brussels, Belgium, 3Pediatric Department, Nephrology Division, Cliniques Universitaires Saint-Luc, Universite Catholique de Louvain, Brussels, Belgium Key words: kidney transplantation; mycotic pseudoaneurysm; prosthesis; autologous vascular graft Correspondence to: Michel Mourad, MD, PhD, Surgery and Abdominal Transplantation Division, Cliniques Universitaires Saint-Luc, Avenue Hippocrate 10, 1200 Brussels, Belgium Tel: 00 32 2 764 22 13 Fax: 00 32 2 770 78 58 E-mail: [email protected]
Received 28 July 2014, revised 20 October 2014, accepted for publication 28 November 2014 DOI: 10.1111/tid.12346 Transpl Infect Dis 2015: 17: 129–136
Mycotic pseudoaneurysm (PA) is a rare (
Case report
Presentation and management of mycotic pseudoaneurysm after kidney transplantation D. Patrono, R. Verhelst, A. Buemi, T. Darius, N. Godefroid, M. Mourad. Presentation and management of mycotic pseudoaneurysm after kidney transplantation. Transpl Infect Dis 2015: 17: 129–136. All rights reserved Abstract: Pseudoaneurysms (PAs) 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.
D. Patrono1, R. Verhelst2, A. Buemi1, T. Darius1, N. Godefroid3, M. Mourad1 1
Department of Surgery, Surgery and Abdominal Transplantation Division, Cliniques Universitaires SaintLuc, Universite Catholique de Louvain, Brussels, Belgium, 2 Department of Cardio-Vascular Surgery, Cliniques Universitaires Saint-Luc, Universite Catholique de Louvain, Brussels, Belgium, 3Pediatric Department, Nephrology Division, Cliniques Universitaires Saint-Luc, Universite Catholique de Louvain, Brussels, Belgium Key words: kidney transplantation; mycotic pseudoaneurysm; prosthesis; autologous vascular graft Correspondence to: Michel Mourad, MD, PhD, Surgery and Abdominal Transplantation Division, Cliniques Universitaires Saint-Luc, Avenue Hippocrate 10, 1200 Brussels, Belgium Tel: 00 32 2 764 22 13 Fax: 00 32 2 770 78 58 E-mail: [email protected]
Received 28 July 2014, revised 20 October 2014, accepted for publication 28 November 2014 DOI: 10.1111/tid.12346 Transpl Infect Dis 2015: 17: 129–136
Mycotic pseudoaneurysm (PA) is a rare (
