Endovascular repair of delayed giant iliac pseudoaneurysm following simultaneous pancreas-kidney transplantation with preserved allografts function.
We present a case of endovascular repair of a giant iliac artery pseudoaneurysm following simultaneous pancreas-kidney transplantation. A 64-year-old female presented to the emergency room with right flank pain 10 months after kidney and pancreas transplantation on the right iliac axis. Investigations revealed a 9.5 cm pseudoaneurysm originating from the anastomosis between the graft renal artery and the external iliac artery. The pseudoaneurysm was successfully excluded emergently with a covered stent graft preserving the normal perfusion and function of both transplanted organs. Endovascular repair may be a good and low-invasive option in selected patients with transplant renal artery pseudoaneurysm.
Department of Vascular Surgery, Vita-Salute University, IRCCS San Raffaele, Milan, Italy.
Yamume
Y
Tshomba
Department of Vascular Surgery, Vita-Salute University, IRCCS San Raffaele, Milan, Italy.
Luca
L
Apruzzi
Department of Vascular Surgery, Vita-Salute University, IRCCS San Raffaele, Milan, Italy.
Andrea
A
Kahlberg
Department of Vascular Surgery, Vita-Salute University, IRCCS San Raffaele, Milan, Italy.
Domenico
D
Baccellieri
Department of Vascular Surgery, Vita-Salute University, IRCCS San Raffaele, Milan, Italy - renato.vitale@outlook.com.
Renato
R
Vitale
Department of Vascular Surgery, Vita-Salute University, IRCCS San Raffaele, Milan, Italy.
Roberto
R
Chiesa
D000714:Anastomosis, Surgical / Q000009:adverse effects*; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D000792:Angiography; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D021621:Imaging, Three-Dimensional; D016030:Kidney Transplantation / Q000009:adverse effects*; D008875:Middle Aged; D016035:Pancreas Transplantation; D012077:Renal Artery / Q000601:surgery*; D014057:Tomography, X-Ray Computed