Successful treatment of mycotic hepatic artery pseudoaneurysms with arterial reconstruction and liposomal amphotericin B

S. M. Rudich; M. M. Kinkhabwala; N. G.B. Murray; D. M. See; R. W. Busuttil; D. K. Imagawa

doi:10.1002/lt.500040113

Successful treatment of mycotic hepatic artery pseudoaneurysms with arterial reconstruction and liposomal amphotericin B

S. M. Rudich, M. M. Kinkhabwala, N. G.B. Murray, D. M. See, R. W. Busuttil, D. K. Imagawa

Research output: Contribution to journal › Article › peer-review

21 Scopus citations

Abstract

A 55-year-old woman developed end-stage liver disease and the hepetorenal syndrome secondary to cryptogenic cirrhosis. Orthotopic liver transplantation was complicated by bile peritonitis, requiring reoperation and eventual placement of an internal biliary stent. On postoperative day 26, hemobillia was caused by localized rupture of mycotic (Aspergillus fumigatus) hepatic artery pseudoaneurysms with fistulization into the biliary tree. After arterial reconstruction with a reversed autologous saphenous vain graft, the patient was treated successfully with liposomal amphotericin B.

Original language	English (US)
Pages (from-to)	91-93
Number of pages	3
Journal	Liver Transplantation and Surgery
Volume	4
Issue number	1
DOIs	https://doi.org/10.1002/lt.500040113
State	Published - 1998
Externally published	Yes

ASJC Scopus subject areas

Surgery
Hepatology

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title = "Successful treatment of mycotic hepatic artery pseudoaneurysms with arterial reconstruction and liposomal amphotericin B",

abstract = "A 55-year-old woman developed end-stage liver disease and the hepetorenal syndrome secondary to cryptogenic cirrhosis. Orthotopic liver transplantation was complicated by bile peritonitis, requiring reoperation and eventual placement of an internal biliary stent. On postoperative day 26, hemobillia was caused by localized rupture of mycotic (Aspergillus fumigatus) hepatic artery pseudoaneurysms with fistulization into the biliary tree. After arterial reconstruction with a reversed autologous saphenous vain graft, the patient was treated successfully with liposomal amphotericin B.",

author = "Rudich, {S. M.} and Kinkhabwala, {M. M.} and Murray, {N. G.B.} and See, {D. M.} and Busuttil, {R. W.} and Imagawa, {D. K.}",

year = "1998",

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AU - Rudich, S. M.

AU - Kinkhabwala, M. M.

AU - Murray, N. G.B.

AU - See, D. M.

AU - Busuttil, R. W.

AU - Imagawa, D. K.

PY - 1998

Y1 - 1998

N2 - A 55-year-old woman developed end-stage liver disease and the hepetorenal syndrome secondary to cryptogenic cirrhosis. Orthotopic liver transplantation was complicated by bile peritonitis, requiring reoperation and eventual placement of an internal biliary stent. On postoperative day 26, hemobillia was caused by localized rupture of mycotic (Aspergillus fumigatus) hepatic artery pseudoaneurysms with fistulization into the biliary tree. After arterial reconstruction with a reversed autologous saphenous vain graft, the patient was treated successfully with liposomal amphotericin B.

AB - A 55-year-old woman developed end-stage liver disease and the hepetorenal syndrome secondary to cryptogenic cirrhosis. Orthotopic liver transplantation was complicated by bile peritonitis, requiring reoperation and eventual placement of an internal biliary stent. On postoperative day 26, hemobillia was caused by localized rupture of mycotic (Aspergillus fumigatus) hepatic artery pseudoaneurysms with fistulization into the biliary tree. After arterial reconstruction with a reversed autologous saphenous vain graft, the patient was treated successfully with liposomal amphotericin B.

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Successful treatment of mycotic hepatic artery pseudoaneurysms with arterial reconstruction and liposomal amphotericin B

Abstract

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