TY - JOUR
T1 - Use of an extracorporeal bypass for renal preservation to treat a rare case of a true mycotic aneurysm in a renal transplant patient
AU - Jung, Enjae
AU - Caputo, Francis J.
AU - Jim, Jeffrey
N1 - Publisher Copyright:
© 2015.
PY - 2015
Y1 - 2015
N2 - True mycotic aneurysms of the abdominal aorta are extremely rare after organ transplantation. We report a renal transplant recipient who presented with Pseudomonas aeruginosa bacteremia and a new saccular infrarenal aortic aneurysm. A temporary extracorporeal axillofemoral bypass was placed to maintain perfusion to the transplant kidney. A contained rupture was found, and excision and in-line reconstruction were performed using a cryopreserved human aortic allograft. At 3years, the patient remained well, with normal renal function while on oral antibiotic suppressive therapy. Use of an extracorporeal bypass was a viable technique with minimal morbidity for renal transplant preservation during open aortic replacement.
AB - True mycotic aneurysms of the abdominal aorta are extremely rare after organ transplantation. We report a renal transplant recipient who presented with Pseudomonas aeruginosa bacteremia and a new saccular infrarenal aortic aneurysm. A temporary extracorporeal axillofemoral bypass was placed to maintain perfusion to the transplant kidney. A contained rupture was found, and excision and in-line reconstruction were performed using a cryopreserved human aortic allograft. At 3years, the patient remained well, with normal renal function while on oral antibiotic suppressive therapy. Use of an extracorporeal bypass was a viable technique with minimal morbidity for renal transplant preservation during open aortic replacement.
UR - http://www.scopus.com/inward/record.url?scp=84938583112&partnerID=8YFLogxK
U2 - 10.1016/j.jvsc.2015.04.010
DO - 10.1016/j.jvsc.2015.04.010
M3 - Article
C2 - 31724651
AN - SCOPUS:84938583112
SN - 2352-667X
VL - 1
SP - 148
EP - 150
JO - Journal of Vascular Surgery Cases
JF - Journal of Vascular Surgery Cases
IS - 2
ER -