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Heterolateral iliac artery pseudoaneurysm complicating lumbar vertebral body fracture following renal transplantation
  • haijun Wei,
  • yong liu,
  • xiaolei sun
haijun Wei
The Affiliated Hospital of Southwest Medical University
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yong liu
The Affiliated Hospital of Southwest Medical University
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xiaolei sun
The Affiliated Hospital of Southwest Medical University

Corresponding Author:[email protected]

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Abstract

Pseudoaneurysms following renal transplantation in donor renal-external iliac artery anastomosis is rare, of which the incidence is less than 1%. We present a case of a common iliac artery pseudoaneurysm, of whom the patient underwent allogenic renal transplantation at 2 years ago accompanied by a recurrent fever of up to 39.5°C for one month. Computed tomography angiography revealed a huge pseudoaneurysm located in the left common iliac artery. The crevasse was blocked by implanting an abdominal aortic integrated bifurcation graft and a covered stent in the left iliac artery. Despite concerns about the feasibility and safety of deploying a graft in a suspected infected pseudoaneurysm, this case proved infection is not an absolute contraindication. Endovascular treatment combined with timely spinal open surgery is a recommended and appropriate therapeutic intervention.