Use of an extracorporeal bypass for renal preservation to treat a rare case of a true mycotic aneurysm in a renal transplant patient

Enjae Jung, Francis J. Caputo, Jeffrey Jim

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)148-150
Number of pages3
JournalJournal of Vascular Surgery Cases
Volume1
Issue number2
DOIs
StatePublished - 2015
Externally publishedYes

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Infected Aneurysm
Transplants
Kidney
Aortic Aneurysm
Abdominal Aorta
Organ Transplantation
Bacteremia
Pseudomonas aeruginosa
Allografts
Rupture
Perfusion
Anti-Bacterial Agents
Morbidity

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Use of an extracorporeal bypass for renal preservation to treat a rare case of a true mycotic aneurysm in a renal transplant patient. / Jung, Enjae; Caputo, Francis J.; Jim, Jeffrey.

In: Journal of Vascular Surgery Cases, Vol. 1, No. 2, 2015, p. 148-150.

Research output: Contribution to journalArticle

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