Post-liver transplant mycotic aneurysm of the hepatic artery.
BACKGROUND
Mycotic aneurysm of the hepatic artery is a rare complication of liver transplantation, occurring in 0% to 3% of patients and having a mortality of around 30%. We present a unique report of mycotic aneurysms of the hepatic artery following liver transplantation in children.


RESULTS
A chart review of the 194 patients who underwent a liver transplantation over a 21-year period revealed 2 patients who developed a mycotic aneurysm of the hepatic artery. The first patient died due to rupture prior to diagnosis. The second patient was treated successfully using radiological coil embolization, followed by surgical excision with hepatic artery ligation and antibiotic therapy.


CONCLUSIONS
Early diagnosis and prompt multidisciplinary treatment is crucial to optimize treatment in this condition.
Jones
Vinci S
VS
Department of Pediatric Surgery, The Children's Hospital at Westmead, Westmead, Sydney 2145, NSW, Australia. vincijones@yahoo.co.in
Chennapragada
Murthy S
MS
Lord
David J E
DJ
Stormon
Michael
M
Shun
Albert
A
D017541:Aneurysm, False / Q000175:diagnosis* / Q000209:etiology / Q000401:mortality / Q000628:therapy; D000785:Aneurysm, Infected / Q000175:diagnosis* / Q000209:etiology / Q000401:mortality / Q000628:therapy; D000792:Angiography; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D005260:Female; D005500:Follow-Up Studies; D006499:Hepatic Artery; D006801:Humans; D007223:Infant; D017093:Liver Failure / Q000175:diagnosis / Q000601:surgery; D016031:Liver Transplantation / Q000009:adverse effects* / Q000379:methods; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D015996:Survival Rate
D000900:Anti-Bacterial Agents