Case Report
Management of Transplant Renal Artery Pseudoaneurysm and Literature Review
Table 1
Summary of our three cases, including clinical presentations, treatments, and outcomes.
| | Age | Time since transplant | Organisms cultured in urine posttransplant | Organisms cultured in blood posttransplant | Diagnosis on imaging | Outcome |
| Recipient 1 | 68 | 2.5 weeks | Pseudomonas aeruginosa (on admission) | Pseudomonas aeruginosa (on admission) | CTA: hematoma with active bleed from IPA of donor renal artery | Nephrectomy | Recipient 2 | 69 | 27 weeks | Enterococcus faecalis (on admission) | Bacteroides (week 4) Enterococcus faecalis (on admission) | Noncontrast CT: cm mass highly suspicious for blood components, seen in the same area of the pseudoaneurysm seen in his initial ultrasound | Endovascular exclusion via covered stent | Recipient 3 | 64 | 6 weeks | Vancomycin-resistant Enterococcus faecium and Candida tropicalis (week 1) Pseudomonas aeruginosa (week 5) Vancomycin-resistant Enterococcus faecium (week 6) | N/A | Angiography: large and small pseudoaneurysms arising from the proximal and midtransplant renal artery, respectively | Large PA: coil embolization mm covered stent Small PA: mm covered stent |
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