Staged repair of multiple infected aortic aneurysms in kidney transplant recipient

Abstract

We present a rare case of multiple infected aortic aneurysms repaired by staged in situ graft replacement in kidney transplant recipient. A 57-year-old man who underwent kidney transplantation 8 months previously admitted with fever. Methicillin-sensitive Staphylococcus aureus was cultured from the blood. Computed tomographic scan showed saccular aneurysms in the descending aorta and the abdominal aorta. He was diagnosed with multiple infected aortic aneurysms. A staged in situ repair using rifampicin-bonded gelatin sealed grafts was performed. Postoperative course was uneventful. The patient was discharged without any evidence of remaining infection and perioperative development of renal failure.