Infected Abdominal Aortic Aneurysms Treated with Extra-anatomic Prosthesis Bypass in the Retroperitoneum

Extra-anatomic aortic bypass for the treatment of a mycotic pseudoaneurysm after liver transplantation for hilar cholangiocarcinoma

“…A report described in situ prosthetic graft repair [7] ; however, due to the history of previous radiotherapy, severe pancreatitis and LT, we decided against performing surgery through an anterior laparotomy and resolving the hepatic artery pseudoaneurysm (HAP) with an in situ prosthesis. Instead, we performed an extraanatomic prosthetic bypass in the retroperitoneum, as reported previously [8] . To the best of our knowledge, this is the first case of an extra-anatomic bypass being performed in the setting of LT. Placement of the prosthesis far from the previous surgical site allows easier access and may reduce the risk of prosthesis infections.…”