Management of Transplant Renal Artery Pseudoaneurysm and Literature Review

Figure 3

Case 3 imaging, whose urine cultures on admission grew vancomycin-resistant Enterococcus faecium. She had 4 UTIs since her transplant with unclear etiology; previous UTIs included VRE, Pseudomonas aeruginosa, and Candida tropicalis. (a) Ultrasound 1 month prior to admission demonstrating normal RLQ transplant kidney with patent renal artery and vein without pseudoaneurysm. (b) Ultrasound on admission demonstrating pseudoaneurysm arising from the renal transplant artery. (c) Arteriogram on the following day demonstrating a large and small pseudoaneurysm arising from the proximal and midtransplant artery, respectively. Severe stenosis also seen at the distal transplant artery. (d) Arteriogram demonstrating exclusion of both pseudoaneurysms as well as angioplasty of the distal transplant artery.

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