CASE REPORT  VASCULAR SECTION 

The Journal of Cardiovascular Surgery 2019 August;60(4):514-7

DOI: 10.23736/S0021-9509.16.08790-5

Copyright © 2015 EDIZIONI MINERVA MEDICA

language: English

Endovascular repair of delayed giant iliac pseudoaneurysm following simultaneous pancreas-kidney transplantation with preserved allografts function

Yamume TSHOMBA, Luca APRUZZI, Andrea KAHLBERG, Domenico BACCELLIERI, Renato VITALE ✉, Roberto CHIESA

Department of Vascular Surgery, Vita-Salute University, IRCCS San Raffaele, Milan, Italy

We present a case of endovascular repair of a giant iliac artery pseudoaneurysm following simultaneous pancreas-kidney transplantation. A 64-year-old female presented to the emergency room with right flank pain 10 months after kidney and pancreas transplantation on the right iliac axis. Investigations revealed a 9.5 cm pseudoaneurysm originating from the anastomosis between the graft renal artery and the external iliac artery. The pseudoaneurysm was successfully excluded emergently with a covered stent graft preserving the normal perfusion and function of both transplanted organs. Endovascular repair may be a good and low-invasive option in selected patients with transplant renal artery pseudoaneurysm.

KEY WORDS: Aneurysm, false; Transplants; Endovascular procedures