In situ prosthetic graft repair of a mycotic aneurysm of the aorta after orthotopic liver transplantation.
BACKGROUND
Vascular complications after liver transplant are associated with a high incidence of graft failure and mortality. Mycotic aneurysms, although uncommon, carry the additional risk of infection and rupture.


METHODS
We report a case of a 51-year-old woman who developed a mycotic aneurysm of the aorta secondary to construction of an infrarenal donor iliac artery graft during a retransplant. We evaluated risk factors for the aneurysm, appropriate diagnosis, and potential treatments.


RESULTS
The aneurysm was repaired with an in situ prosthetic graft. The patient is alive with good liver function 31 months posttreatment.


CONCLUSIONS
The use of in situ prosthetic grafts for repair of mycotic aneurysms is appropriate in certain situations and may be life-saving.
Sheiner
P A
PA
The Recanati/Miller Transplantation Institute, The Mount Sinai Medical Center, New York, New York 10029, USA.
Nurzia
M J
MJ
Cooper
J
J
Miller
C M
CM
D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D016031:Liver Transplantation; D008875:Middle Aged; D011183:Postoperative Complications; D012079:Renal Circulation; D012086:Reoperation