Infectious aortitis in a liver transplant recipient

Am J Transplant. 2013 Sep;13(9):2479-82. doi: 10.1111/ajt.12353. Epub 2013 Aug 6.

Abstract

The development of an abdominal aortic aneurysm secondary to infectious aortitis following solid organ transplantation is a rare event that in the absence of surgical intervention, can lead to uncontrolled sepsis, catastrophic hemorrhage and death. Arterial allografts have been a viable surgical option for the past 30 years, although operative modalities have undergone a paradigm shift in recent years. We describe the first case in the literature of a liver transplant recipient who developed an infrarenal aortic aneurysm secondary to Salmonella bacteraemia, which was treated successfully with aortic allograft transplantation.

Keywords: Aortic allograft; Salmonella enteriditis; immune suppression; infectious aortitis; liver transplantation; mycotic abdominal aortic aneurysm.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aorta / surgery
  • Aorta, Thoracic / transplantation
  • Aortic Aneurysm, Abdominal / diagnostic imaging
  • Aortic Aneurysm, Abdominal / surgery*
  • Aortitis / diagnostic imaging
  • Aortitis / microbiology
  • Aortitis / surgery*
  • Bacteremia / drug therapy
  • Bacteremia / etiology
  • Female
  • Humans
  • Liver / diagnostic imaging
  • Liver / surgery
  • Liver Transplantation / adverse effects*
  • Penicillanic Acid / analogs & derivatives
  • Penicillanic Acid / therapeutic use
  • Piperacillin / therapeutic use
  • Piperacillin, Tazobactam Drug Combination
  • Radiography
  • Salmonella Infections / drug therapy
  • Salmonella Infections / etiology*
  • Salmonella enteritidis*
  • Transplantation, Homologous

Substances

  • Piperacillin, Tazobactam Drug Combination
  • Penicillanic Acid
  • Piperacillin