Endovascular repair of a pancreatic allograft mycotic aneurysm: two-year follow-up.

Abstract

PURPOSE:

To describe midterm outcome of endovascular stent-graft repair of a mycotic aneurysm associated with a peripancreatic allograft abscess after transplantation.

CASE REPORT:

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.

CONCLUSION:

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: Gregory J Jaffers, William T Bohannon, Clifford Buckley
• Journal: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists (J Endovasc Ther) Vol. 18 Issue 4 Pg. 607-10 (Aug 2011) ISSN: 1545-1550 [Electronic] United States
• PMID: 21861754 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Bacterial Agents
• Immunosuppressive Agents

Topics

• Aneurysm, False (diagnostic imaging, etiology, microbiology, surgery)
• Aneurysm, Infected (diagnostic imaging, etiology, microbiology, surgery)
• Anti-Bacterial Agents (therapeutic use)
• Blood Vessel Prosthesis
• Blood Vessel Prosthesis Implantation (instrumentation)
• Endovascular Procedures (instrumentation)
• Female
• Humans
• Iliac Aneurysm (diagnostic imaging, etiology, microbiology, surgery)
• Immunosuppressive Agents (adverse effects)
• Middle Aged
• Pancreas Transplantation (adverse effects)
• Prevotella (isolation & purification)
• Reoperation
• Stents
• Time Factors
• Tomography, X-Ray Computed
• Transplantation, Homologous
• Treatment Outcome
• Viridans Streptococci (isolation & purification)