title: Successful endovascular treatment for gastroduodenal artery pseudoaneurysm with an arteriovenous fistula after pancreas transplantation.
abstract: 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.
authors.affiliation: Department of Surgery, University Vita-Salute San Raffaele, Milan, Italy.
authors.forename: Elena
authors.initials: E
authors.lastname: Orsenigo
authors.forename: Francesco
authors.initials: F
authors.lastname: De Cobelli
authors.forename: Marco
authors.initials: M
authors.lastname: Salvioni
authors.forename: Marco
authors.initials: M
authors.lastname: Cristallo
authors.forename: Paolo
authors.initials: P
authors.lastname: Fiorina
authors.forename: Alessandro
authors.initials: A
authors.lastname: Del Maschio
authors.forename: Valerio
authors.initials: V
authors.lastname: Di Carlo
authors.forename: Antonio
authors.initials: A
authors.lastname: Secchi
mesh_terms: 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*