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Rapid Development of De Novo Thoracic Aneurysm After Liver Transplant
Michael W Rowley1, Jeffrey A Brink, Anil B Seetharam
1From the Department of Internal Medicine, Banner University Medical Center, Phoenix, Arizona, USA; and the University of Arizona College of Medicine-Phoenix, Phoenix, Arizona, USA.
Abstract:
The development of aortic aneurysms in post-transplant patients is a rare but potentially lethal problem. De novo aortic aneurysm formation and rapid growth are postulated to result from an imbalance between pro- and anti-inflammatory vascular endothelial factors after transplant. Here, we present a case of de novo thoracic aneurysm formation within 2 months of orthotopic liver transplant. Prompt clinical recognition allowed for successful endovascular repair. Transplant clinicians should be aware of this potentially life-threatening complication and monitor at-risk recipients accordingly.
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