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A Modified Surgical Technique for Kidney Transplantation in Mice
Published on: July 22, 2022
Presentation and management of mycotic pseudoaneurysm after kidney transplantation
D Patrono1, R Verhelst, A Buemi
1Department of Surgery, Surgery and Abdominal Transplantation Division, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium.
Abstract:
Pseudoaneurysms (PAs) developing at the site of vascular anastomosis after organ transplantation are a rare but serious complication. We report a series of 3 cases of PA observed in a single center over a period of 18 years. The mode of presentation was acute bleeding in 2 cases. In the third patient, who underwent combined kidney and pancreas transplantation, the PA on the renal graft was discovered by chance. Graft removal associated with iliac artery ligation and extra-anatomic femoro-femoral bypass represents the standard treatment. However, interposition of a venous homograft may allow preservation of inferior limb perfusion and possibly graft salvage.
Insights
Pseudoaneurysms after organ transplantation are rare but serious. A venous homograft may preserve limb perfusion and potentially salvage the graft, offering an alternative to standard treatment.
Area of Science:
- Vascular Surgery
- Transplantation Surgery
- Graft Complications
Background:
- Pseudoaneurysms (PAs) are rare but serious complications following organ transplantation.
- They occur at the site of vascular anastomosis, potentially leading to acute bleeding.
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