Division of Surgical Transplantation, Scott and White Hospital, Temple, Texas 76508, USA.
J Endovasc Ther. 2011 Aug;18(4):607-10. doi: 10.1583/11-3441.1.
To describe midterm outcome of endovascular stent-graft repair of a mycotic aneurysm associated with a peripancreatic allograft abscess after transplantation.
A 46-year-old woman underwent combined kidney and pancreas allograft transplantation under heavy immunosuppression. She developed a peripancreatic allograft abscess with associated mycotic aneurysm of the pancreatic allograft donor iliac artery 2 months after transplantation. Endovascular stent-grafts were used to exclude the aneurysm, retaining normal pancreatic allograft function over the next 2 years.
Allograft arterial mycotic aneurysm development after transplantation is a rare but potentially life-threatening problem. This case suggests that control of a mycotic aneurysm may be obtained with stent-grafting in the presence of active infection under intense immunosuppression, avoiding allograft pancreatectomy.
描述在移植后胰周移植体脓肿伴发的感染性动脉瘤的血管内支架-移植物修复的中期结果。
一名 46 岁女性在重度免疫抑制下接受了肾-胰联合移植。她在移植后 2 个月时出现胰周移植体脓肿，同时伴有供体髂内动脉的胰移植体感染性动脉瘤。使用血管内支架-移植物来排除动脉瘤，在接下来的 2 年内保留了正常的胰移植体功能。
移植后移植体动脉感染性动脉瘤的发生是一种罕见但潜在危及生命的问题。本病例提示，在强烈免疫抑制下存在活动性感染的情况下，支架-移植物置入术可能控制感染性动脉瘤，避免了移植体胰切除术。
Zotero 插件