Management of Transplant Renal Artery Pseudoaneurysm and Literature Review

Figure 2

Case 2 imaging, whose blood and urine cultures on admission grew Enterococcus faecalis. (a) Ultrasound from initial transplant hospitalization demonstrating normal RLQ transplant kidney with patent renal artery and vein without pseudoaneurysm. (b) Ultrasound on admission demonstrating pseudoaneurysm at the anastomosis measuring . (c) Noncontrast CT demonstrating hematoma in the same area of the pseudoaneurysm seen on ultrasound approximately 4 hours earlier. (d) Arteriogram demonstrating juxta-anastomotic pseudoaneurysm; it was deemed unsafe to coil given its wide neck. (e) Arteriogram on the following day after placement of a Gore excluder endograft. (f) CT angiogram demonstrating endograft placement completely excluding the anastomotic pseudoaneurysm.

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