title: Presentation and management of mycotic pseudoaneurysm after kidney transplantation.
abstract: Pseudoaneurysms (PAs) developing at the site of vascular anastomosis after organ transplantation are a rare but serious complication. We report a series of 3 cases of PA observed in a single center over a period of 18 years. The mode of presentation was acute bleeding in 2 cases. In the third patient, who underwent combined kidney and pancreas transplantation, the PA on the renal graft was discovered by chance. Graft removal associated with iliac artery ligation and extra-anatomic femoro-femoral bypass represents the standard treatment. However, interposition of a venous homograft may allow preservation of inferior limb perfusion and possibly graft salvage.
authors.affiliation: Department of Surgery, Surgery and Abdominal Transplantation Division, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium.
authors.forename: D
authors.initials: D
authors.lastname: Patrono
authors.forename: R
authors.initials: R
authors.lastname: Verhelst
authors.forename: A
authors.initials: A
authors.lastname: Buemi
authors.forename: T
authors.initials: T
authors.lastname: Darius
authors.forename: N
authors.initials: N
authors.lastname: Godefroid
authors.forename: M
authors.initials: M
authors.lastname: Mourad
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D017541:Aneurysm, False / Q000209:etiology / Q000382:microbiology / Q000601:surgery / Q000628:therapy*; D002176:Candida albicans / Q000302:isolation & purification; D058387:Candidemia / Q000175:diagnosis / Q000188:drug therapy* / Q000382:microbiology; D002648:Child; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D016035:Pancreas Transplantation / Q000009:adverse effects*; D011183:Postoperative Complications; D011552:Pseudomonas Infections / Q000175:diagnosis / Q000188:drug therapy* / Q000382:microbiology; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification
keywords: autologous vascular graft; kidney transplantation; mycotic pseudoaneurysm; prosthesis