Late Onset Anastomotic Pseudoaneurysm of Renal Allograft Artery: Case Report, Diagnosis, and Treatment

Taghavi, Morteza; fard, Aghsaei; Mehrsai, R.; Shadman, Mazyar

doi:10.1016/j.transproceed.2005.10.110

Cited by 21 publications

(13 citation statements)

References 8 publications

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“…So they are frequently seen at the anastomotic site and in the early weeks following surgery as a result of anastomotic defects. 3,6 Late presentation, as in this case after 14 years, is a very rare condition. In the literature, late spontaneous renal artery pseudoaneurysms seen at the anastomotic sites were reported between 15 months and 20 years after surgery.…”

Section: Discussionmentioning

confidence: 63%

“…In the literature, late spontaneous renal artery pseudoaneurysms seen at the anastomotic sites were reported between 15 months and 20 years after surgery. 3,7,8 In addition to any degree of graft dysfunction, extrarenal pseudoaneurysms of transplanted kidneys may also cause the loss of the graft. [2][3][4] Rupture of the pseudoaneurysm is a probable serious complication and may cause death of the patient.…”

Section: Discussionmentioning

confidence: 99%

“…They may be devastating and cause functional impairment and even loss of the graft. [1][2][3][4] Treatment for this abnormality is necessary for the viability of the graft.…”

Section: Introductionmentioning

confidence: 99%

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Extrarenal Pseudoaneurysm of the Arterial Anastomosis in a Renal Transplant: Endovascular Coil Embolization with Balloon Remodeling Technique

et al. 2011

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Anastomotic pseudoaneurysms of transplanted kidneys are a very rare complication and encountered in less than 1% of such operations. They may be devastating and cause functional impairment and even loss of the graft. In this report, we present the first case of treatment of extrarenal pseudoaneurysm of arterial anastomosis in a renal transplant patient with endovascular coil embolization with the balloon remodeling technique. This method is mostly used in the treatment of wide-neck intracranial aneurysms.

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Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 99%

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Extrarenal Pseudoaneurysm of the Arterial Anastomosis in a Renal Transplant: Endovascular Coil Embolization with Balloon Remodeling Technique

et al. 2011

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“…A review of the literature found reports of successful venous patch angioplasty and surgical reconstruction of a renal artery aneurysm that prevented aneurysm rupture and saved the graft [9,10]. With regard to our fourth patient, although we decided on a two-stage procedure aiming to preserve the transplanted kidney, this was not feasible due to recurrence of the pseudoaneurysm.…”

Section: Discussionmentioning

confidence: 99%

Mycotic pseudoaneurysms complicating renal transplantation: a case series and review of literature

et al. 2012

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IntroductionKidney transplantation can be complicated by infection and subsequent development of mycotic aneurysm, endangering the survival of the graft and the patient. Management of this condition in five cases is discussed, accompanied by a review of the relevant literature.Case presentationsFive patients, three men 42-, 67- and 57-years-old and two women 55- and 21-years-old (mean age of 48 years), all Caucasians, developed a mycotic aneurysm in the region of the anastomosis between renal graft artery and iliac axes. Four patients presented with systemic fever and iliac fossa pain and one presented with hemorrhagic shock. Morphologic investigation by color doppler ultrasonography revealed a pseudoaneurysm at the anastomotic site. A combination of antibiotic therapy, surgery and interventional procedures was required as all kidney transplants had to be removed. No recurrence was recorded during the follow-up period.ConclusionsA high index of suspicion is required for the timely diagnosis of a mycotic aneurysm; aggressive treatment with cover stents and/or surgical excision is necessary in order to prevent potentially fatal complications.

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“…10,20,28 It excludes blood flow into the false aneurysm by indoluminal stent deployment, therefore reducing the risk of rupture. 29 Certainly it requires anatomic criteria for proximal and distal landing zones. Endovascular stenting of the external iliac artery with renal transplant artery exclusion can be considered in emergency situations of acute rupture with adjunctive percutaneous drainage of the retroperitoneal hematoma or subsequent open surgical drainage and transplant nephrectomy once the patient' s condition stabilizes.…”

Section: Discussionmentioning

confidence: 99%

Transplant Renal Artery False Aneurysm: Case Report and Literature Review

Al-Wahaibi¹

2010

OMJ

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This is a case report of a 59 years old male who had a commercial non-related living renal transplantation for his end stage renal insufficiency secondary to adult polycystic kidney disease. He suffered an immediate and early post-operative bleeding, which was managed conservatively. He was presented at Sultan Qaboos University Hospital four months after his transplant with abdominal pain, nausea, loss of appetite and a rise in serum creatinine levels. Ultrasonography and angiography have shown a 4 cm false aneurysm of the transplant renal artery at the anastomotic site with the external iliac artery. Surgical exploration with resection of the false aneurysm and reanastomosis of the donor renal artery to the external iliac artery was carried out successfully with preservation of the renal allograft. This is a rare case of an extra-renal false aneurysm at the anastomotic site of the transplant renal artery to the external iliac artery four months after renal allotransplantation. Literature review on the management and outcome of false aneurysms after renal transplant was carried out.

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Late Onset Anastomotic Pseudoaneurysm of Renal Allograft Artery: Case Report, Diagnosis, and Treatment

Cited by 21 publications

References 8 publications

Extrarenal Pseudoaneurysm of the Arterial Anastomosis in a Renal Transplant: Endovascular Coil Embolization with Balloon Remodeling Technique

Extrarenal Pseudoaneurysm of the Arterial Anastomosis in a Renal Transplant: Endovascular Coil Embolization with Balloon Remodeling Technique

Mycotic pseudoaneurysms complicating renal transplantation: a case series and review of literature

Transplant Renal Artery False Aneurysm: Case Report and Literature Review

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