Mycotic Pseudoaneurysms After Liver Transplantation

Álamo, J.M.; Gómez, Miguel Ángel Medrano; Tamayo, María; Socas, María; Valera, Z.; Robles, Juvencio; Pareja, Felipe; García, I Plasencia; Serrano, Javier García; Bernardos, Á.

doi:10.1016/j.transproceed.2005.02.046

Cited by 26 publications

(18 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Indeed, disseminated foci of infection in bacteremic donors have been associated with a higher risk of transmission . Moreover, highly virulent pathogens, such as MRSA, have been associated with post‐transplant endovascular infections including mycotic aneurysms . Donor transmission of bacteremia is reported to occur in up to 5.8% of LT recipients, despite antibiotic prophylaxis.…”

Section: Discussionmentioning

confidence: 99%

Transmission of infection to liver transplant recipients from donors with infective endocarditis: lessons learned

Miceli

Gonulalan

Perri

et al. 2015

Transplant Infectious Dis

View full text Add to dashboard Cite

Donors not meeting standard criteria, such as those with bacteremia, are now being used in response to the increasing need for organs for transplantation. Recommended strategies to prevent the occurrence of donor-derived bacteremia include the use of directed antibiotic prophylaxis. However, this approach does not eliminate the risk of infection transmission. Similarly, the management of organ recipients from donors with infective endocarditis (IE) remains uncharacterized. We report 2 cases of donor-derived bacterial infections in liver transplant recipients despite pathogen-specific antibiotic prophylaxis. In both instances, the donors had documented IE treated with appropriate antimicrobial therapy and clearance of bacteremia. Recipients had very distinctive clinical outcomes likely related to pathogen virulence and the extent of donor infection. Persistent infection in the transplanted liver should be suspected in organ recipients of a liver from donors with IE, despite the absence of bacteremia at the time of death and organ procurement. For eradication, recipients may require prolonged pathogen-directed antimicrobial therapy, such as is used for endovascular infections. Prompt recognition of donors with IE, appropriate notification, and prolonged antibiotic prophylaxis are key to reducing the risk of such donor-derived infections.

show abstract

Section: Discussionmentioning

confidence: 99%

Transmission of infection to liver transplant recipients from donors with infective endocarditis: lessons learned

Miceli

Gonulalan

Perri

et al. 2015

Transplant Infectious Dis

View full text Add to dashboard Cite

show abstract

“…Infections cited in the literature include embolic phenomenon from infective endocarditis, which is now mainly seen among intravenous drug taking populations, severe systemic sepsis and amoebic infections 13. In addition immunosuppression has been reported as a cause for mycotic aneurysms in conjunction with liver transplantation or treatment for other malignancies or disorders such as Crohn's disease 14–16. This case is particularly interesting as it occurred in a case of presumed acalculous cholecystitis that was not severe as it necessitated only a short admission and no intervention other than antibiotic treatment at that time.…”

Section: Discussionmentioning

confidence: 92%

Right hepatic artery false aneurysm secondary to acalculous cholecystitis

Bennett

Fay²,

Krysztopik³

2010

Case Reports

View full text Add to dashboard Cite

SummaryThe present report describes a case of an extrahepatic right hepatic artery pseudoaneurysm caused by acalculous cholecystitis. An 85-year-old man was admitted with abdominal pain, cachexia and jaundice. A CT scan showed a saccular false right hepatic artery aneurysm within a soft tissue and fluid mass that was causing biliary obstruction. The soft tissue mass raised the possibility of malignant disease, but this resolved slowly after a period of time and on reviewing the patient's history the only upper gastrointestinal problem noted was an episode of acalculous cholecystitis 3 months previously, which was believed to be the cause of the pseudoaneurysm. The false aneurysm was treated successfully with coil embolisation and the patient recovered fully from this illness. BACKGROUND

show abstract

“…Historically, open surgical excision of the aneurysm, with or without splenectomy, is the conventional treatment which has well documented efficiency and durability. [28–30] Laparoscopic ligation has also been recently described with good results, but experience with this procedure is limited. [3132]…”

Section: Discussionmentioning

confidence: 99%

Rupture of multiple splenic artery aneurysms: A common presentation of a rare disease with a review of literature

Zubaidi

2009

Saudi J Gastroenterol

View full text Add to dashboard Cite

The splenic artery is the most frequent site of visceral arterial aneurysms. Usually a splenic artery aneurysm occurs as a single event; rupture is frequent, sometimes occurring as the first symptom and is sometimes fatal. This article presents a case of ruptured multiple splenic artery aneurysms—the symptoms and signs, operative and perioperative management, as well as a literature review of this clinically important entity.

show abstract

Mycotic Pseudoaneurysms After Liver Transplantation

Cited by 26 publications

References 12 publications

Transmission of infection to liver transplant recipients from donors with infective endocarditis: lessons learned

Transmission of infection to liver transplant recipients from donors with infective endocarditis: lessons learned

Right hepatic artery false aneurysm secondary to acalculous cholecystitis

Rupture of multiple splenic artery aneurysms: A common presentation of a rare disease with a review of literature

Contact Info

Product

Resources

About