Pseudoaneurysm of the iliac artery secondary to Aspergillus infection in two recipients of kidney transplants from the same donor

Use of autogenous internal iliac artery for bridging the external iliac artery after excision of Aspergillus mycotic aneurysm in renal transplant recipients

“…7 It can lead to vascular thrombosis, anastomotic disruption, or formation of pseudoaneurysm and graft loss. 4,8 These infections are probably slow growing, as was seen in the present series, where the patients presented 3 to 4 months after transplant. In poorly maintained hospitals, fungal or bacterial contamination may occur during surgery.…”

"True" Mycotic Aneurysm of the Anastomotic Site of the Renal Allograft Artery

“…It is a result of faulty surgical technique, kinking of the renal artery, instrumental injury during perfusion, dissection of the vasa vasorum, and immunologic mechanisms. 1 Table 3 shows reported patients 5,[8][9][10] with true mycotic pseudoaneurysms. In addition, there are reports of ruptured anastomotic sites 6 and renal allograft artery ruptures.…”

Donor-Derived Fungal Infections in Organ Transplant Recipients: Guidelines of the American Society of Transplantation, Infectious Diseases Community of Practice

“…Aspergillus species have been rarely cultured from the preservation fluid (22,99) and contaminated preservation fluid has been shown or suspected to be the mode of transmission of aspergillosis and mucormycosis associated with fungal arteritis, mycotic aneurysms, anastomotic infections and graft site abscesses/fungus ball in kidney and liver transplant recipients (22,(100)(101)(102)(103)(104). Invasive filamentous fungal infections resulting from exposure to contaminated sources, infected donors or breaches in aseptic techniques during organ procurement, transport or implantation have been identified as a major complication of commercial or transplant tourism (105).…”