title: Endovascular repair of a pancreatic allograft mycotic aneurysm: two-year follow-up.
abstract: OBJECTIVE
  To describe midterm outcome of endovascular stent-graft repair of a mycotic aneurysm associated with a peripancreatic allograft abscess after transplantation.
  
  
  METHODS
  A 46-year-old woman underwent combined kidney and pancreas allograft transplantation under heavy immunosuppression. She developed a peripancreatic allograft abscess with associated mycotic aneurysm of the pancreatic allograft donor iliac artery 2 months after transplantation. Endovascular stent-grafts were used to exclude the aneurysm, retaining normal pancreatic allograft function over the next 2 years.
  
  
  CONCLUSIONS
  Allograft arterial mycotic aneurysm development after transplantation is a rare but potentially life-threatening problem. This case suggests that control of a mycotic aneurysm may be obtained with stent-grafting in the presence of active infection under intense immunosuppression, avoiding allograft pancreatectomy.
authors.affiliation: Division of Surgical Transplantation, Scott and White Hospital, Temple, Texas 76508, USA. gjaffers@swmail.sw.org
authors.forename: Gregory J
authors.initials: GJ
authors.lastname: Jaffers
authors.forename: William T
authors.initials: WT
authors.lastname: Bohannon
authors.forename: Clifford
authors.initials: C
authors.lastname: Buckley
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000382:microbiology / Q000601:surgery*; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000209:etiology / Q000382:microbiology / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D006801:Humans; D017543:Iliac Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000382:microbiology / Q000601:surgery*; D007166:Immunosuppressive Agents / Q000009:adverse effects; D008875:Middle Aged; D016035:Pancreas Transplantation / Q000009:adverse effects*; D018720:Prevotella / Q000302:isolation & purification; D012086:Reoperation; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014184:Transplantation, Homologous; D016896:Treatment Outcome; D034363:Viridans Streptococci / Q000302:isolation & purification
chemical_list: D000900:Anti-Bacterial Agents; D007166:Immunosuppressive Agents