title: Use of autogenous internal iliac artery for bridging the external iliac artery after excision of Aspergillus mycotic aneurysm in renal transplant recipients.
abstract: Repair of vascular defects in the presence of infection remains a challenging task in immunocompromised patients. We report two patients with postrenal transplant Aspergillus mycotic aneurysms of the allograft renal artery involving the external iliac artery which were excised along with the allograft. The defect in the external iliac artery was repaired successfully with interposition of autogenous internal iliac artery graft. Use of an internal iliac artery graft in such settings has been rarely reported in English literature. Autogenous internal iliac artery grafts provide a useful method to bridge the vascular defects created by radical debridement in the presence of fungal infections.
authors.affiliation: Department of Renal Transplant Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India. mukutminz@hotmail.com
authors.forename: Mukut
authors.initials: M
authors.lastname: Minz
authors.forename: Ashish
authors.initials: A
authors.lastname: Sharma
authors.forename: Sunil
authors.initials: S
authors.lastname: Kumar
authors.forename: Sarbpreet
authors.initials: S
authors.lastname: Singh
authors.forename: Mandya R
authors.initials: MR
authors.lastname: Shivaprakash
authors.forename: Sanand
authors.initials: S
authors.lastname: Bag
mesh_terms: D000328:Adult; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D001231:Aspergillus flavus / Q000302:isolation & purification*; D003646:Debridement; D017809:Fatal Outcome; D006801:Humans; D017543:Iliac Aneurysm / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D007166:Immunosuppressive Agents / Q000009:adverse effects*; D016030:Kidney Transplantation / Q000009:adverse effects*; D018810:Magnetic Resonance Angiography; D008297:Male; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D014184:Transplantation, Homologous; D016896:Treatment Outcome; D058017:Vascular Grafting
chemical_list: D007166:Immunosuppressive Agents