Pseudoaneurysm of the superior mesenteric artery with an arteriovenous fistula after simultaneous kidney-pancreas transplantation

Taqi F. Toufeeq Khan, Gaetano Ciancio*, George W. Burke, George N. Sfakianakis, Joshua Miller

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Vascular complications remain a significant source of morbidity after pancreatic transplantation. We describe a pseudoaneurysm of the superior mesenteric artery (SMA) with an arteriovenous fistula (AVF) involving the SMA and the superior mesenteric vein (SMV) discovered and treated surgically in the second week after kidney-pancreas transplantation. The patient experienced pain over the graft, and subsequent radionuclide and Doppler ultrasound scan were suggestive of a pseudoaneurysm in the head of the pancreas. Awaiting confirmatory angiography, the patient became hypotensive and after resuscitation, underwent emergency surgery when a pseudoaneurysm was found in the head of the pancreas. After looping the proximal and distal recipient iliac artery and base of the donor Y vascular graft, the AVF was separated and ligated. The SMV was dissected off the pancreatic head and repaired over a tamponading intraluminal Foley catheter. Graft function was preserved. Based on this experience, an AVF with or without a pseudoaneurysm in the pancreas allograft should be corrected as soon it is suspected.

Original languageEnglish (US)
Pages (from-to)277-279
Number of pages3
JournalClinical Transplantation
Volume13
Issue number3
DOIs
StatePublished - 1999

Keywords

  • Arteriovenous fistula
  • Kidney-pancreas transplant
  • Pseudoaneurysm
  • Superior mesenteric artery
  • Vascular complication

ASJC Scopus subject areas

  • Transplantation

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