Destructive allograft fungal arteritis following simultaneous pancreas-kidney transplantation.
Fungal arteritis of the Y graft used to revascularize the whole pancreas graft developed in 2 recipients of simultaneous pancreas-kidney transplant that were performed within 36 hr of each other. The vascular infection became manifest 6-7 days following transplantation. In both patients, the vasculitis culminated in an arterial rupture that required immediate operative intervention. This compromise of the Y grafts contributed to loss of both pancreatic grafts and necessitated vascular reconstruction to reperfuse the lower extremity. To date, both patients continue to experience normal kidney transplant function.
Ciancio
G
G
Department of Surgery, University of Miami School of Medicine, FL 33101, USA.
Burke
G W
GW
Viciana
A L
AL
Ruiz
P
P
Ginzburg
E
E
Dowdy
L
L
Roth
D
D
Miller
J
J
D000328:Adult; D000713:Anastomosis, Roux-en-Y; D001167:Arteritis / Q000209:etiology* / Q000382:microbiology; D002177:Candidiasis / Q000209:etiology* / Q000382:microbiology; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D016035:Pancreas Transplantation / Q000009:adverse effects*; D014184:Transplantation, Homologous