Successful endovascular treatment for gastroduodenal artery pseudoaneurysm with an arteriovenous fistula after pancreas transplantation.
The aim of this study was to demonstrate the usefulness of endovascular treatment for gastroduodenal artery pseudoaneurysm with an arteriovenous fistula after simultaneous pancreas-kidney transplantation. We describe the case of a 38-year-old man who underwent successful simultaneous pancreas-kidney transplantation. An asymptomatic pseudoaneurysm of the donor gastroduodenal artery with an arteriovenous fistula was incidentally diagnosed by routine color flow Doppler ultrasound (CDU) examination and confirmed by 3-D gadolinium-enhanced magnetic resonance angiography (MRA) 15 days after transplantation. Selective arteriography (via the right femoral artery) confirmed an arteriovenous fistula and a pseudoaneurysm of the donor gastroduodenal artery. The patient underwent successful endovascular embolization. At 11 months of follow-up, normal pancreatic function was reported. Endovascular treatment for gastroduodenal artery pseudoaneurysm with an arteriovenous fistula after pancreas transplantation obviates the need for surgical intervention.
Orsenigo
Elena
E
Department of Surgery, University Vita-Salute San Raffaele, Milan, Italy.
De Cobelli
Francesco
F
Salvioni
Marco
M
Cristallo
Marco
M
Fiorina
Paolo
P
Del Maschio
Alessandro
A
Di Carlo
Valerio
V
Secchi
Antonio
A
D000328:Adult; D017541:Aneurysm, False / Q000209:etiology / Q000628:therapy*; D001158:Arteries; D001164:Arteriovenous Fistula / Q000209:etiology / Q000628:therapy*; D004386:Duodenum / Q000098:blood supply*; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D016035:Pancreas Transplantation / Q000009:adverse effects*; D013270:Stomach / Q000098:blood supply*