Successful endovascular management of multiple mycotic aneurysms after liver transplantation – A case report and review of the literature

Author:

Ng Jun Jie1,Tan Jarrod Kah Hwee2ORCID,Wong Julian Chi Leung1,Wee Bernard Boon Kee3,Shridhar Iyer Ganpathi2,Kow Alfred Wei Chieh2,Madhavan Krishnakumar2,Mangat Kamarjit Singh3,Bonney Glenn Kunnath2

Affiliation:

1. Department of Cardiac, Thoracic and Vascular Surgery, National University Heart Centre Singapore, National University Hospital, Singapore, Singapore

2. Division of Hepatopancreatobiliary Surgery and Liver Transplantation, Department of Surgery, National University Hospital, Singapore, Singapore

3. Department of Diagnostic Imaging, National University Hospital, Singapore, Singapore

Abstract

Background Mycotic vascular complications after liver transplantation are rare but can be pose a serious threat to the liver graft and the patient’s life. Mycotic complications can present as an incidental finding on routine imaging, or as haemorrhagic shock. Traditionally, these mycotic vascular complications were managed with open surgery. Method/results In this case report, we describe a patient who had developed multiple sequential mycotic aneurysms after liver transplantation which were managed successfully using endovascular and percutaneous techniques. Conclusion An endovascular approach is minimally invasive and will be the way forward in managing these mycotic vascular complications.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,Radiology Nuclear Medicine and imaging,General Medicine,Surgery

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