Endovascular embolization of a giant hepatic artery aneurysm

Wang, Judy; Qi, Sara D.; Cabalag, Carlos S.; Chuen, Jason

doi:10.1111/ans.14801

Cited by 3 publications

(4 citation statements)

References 9 publications

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“…Although we report that the current guidelines indicate preferable endovascular procedures over open surgery, as they are less invasive and short lived [ 28 , 29 ], the authors believe that the indication of the most appropriate treatment for CHA aneurysms is linked to multiple factors such as the site and the anatomy of the aneurysm, its dimensions, the etiology, and the risk of rupture, also general condition and life expectancy of each patient, the experiences of vascular surgical and radiological team and all the vascular and oncological therapies necessary or foreseeable in the short term [ 30 , 31 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment for common hepatic aneurysm. Original one-step technique

et al. 2020

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IntroductionHepatic artery aneurysms are rare, and their treatment represents a challenge for the surgeons.Materials and methodsA new technique is presented for common hepatic artery (CHA) aneurysm: it requires minimal vascular surgical dissection and only one linear vascular stapler is applied at the bottom of aneurysm. Aneurysm exclusion is easily obtained, which allowed retrograde thrombosis. Liver blood supply is ensured to the right and left hepatic artery, through the gastroduodenal artery, and can be previously monitored, with temporary clamping of the section area, by visual control, enzyme evaluation and intraoperative ultrasound examination. We reported an open surgical treatment, with simultaneous removal of hepatic and adrenal metastases, secondary to colon cancer.ResultsThe duration of vascular surgery was 30 min and did not involve complications. Postoperative controls confirmed the efficacy of the procedure.DiscussionThis original technique can be added to the various open and endovascular techniques so far described for the treatment of a CHA aneurysm. It is advisable as open surgery, mostly in case of associated pathologies.ConclusionsThe authors believe that this “one shot” technique by vascular staple of the distal part of CHA is minimally invasive and effective to obtain the exclusion of the aneurysm.

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Section: Discussionmentioning

confidence: 99%

Surgical treatment for common hepatic aneurysm. Original one-step technique

et al. 2020

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“…VAAs are most associated with atherosclerosis, cystic medial degeneration, and abdominal trauma 1,2 However, the exact aetiology is often unclear, and VAAs have been linked to numerous other conditions. Mortality rates from rupture range from 21% to 100% 2,3 . The greatest risk of rupture is seen in hepatic artery aneurysm (80%) and IPDA aneurysms (75%) 4 .…”

Section: Figmentioning

confidence: 99%

“…Mortality rates from rupture range from 21% to 100%. 2,3 The greatest risk of rupture is seen in hepatic artery aneurysm (80%) and IPDA aneurysms (75%). 4 Surgical or endovascular treatment is indicated in VAAs with high risk of rupture; these include large (>2 cm), expanding (>0.5 cm/year), or symptomatic aneurysms, as well as those in pregnant women or those of child-bearing age.…”

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confidence: 99%

Correct identification of visceral artery aneurysms is critical

Hunt

Cavallucci

Boyne

et al. 2023

ANZ Journal of Surgery

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Visceral artery aneurysms (VAAs) are rare, with high morbidity and mortality. Correct identification of VAAs on abdominal imaging is critical; misdiagnosis and failure to treat predisposes the patient to significant risk of rupture and death. In this case report, we present a case of a patient with a primary giant hepatic artery aneurysm, initially mistaken for a pancreatic tumour.A 70-year-old male suffered 3 episodes of epigastric pain over 3 months. Each episode involved the sudden onset of moderately severe epigastric pain lasting 3 hours. There were no identifiable triggers. The patient had a history of atrial fibrillation, treated with rivaroxaban. He had had no previous abdominal surgery or pancreatitis. Physical examination findings were unremarkable. Biochemical investigations revealed no abnormalities.Abdominal ultrasound suggested a 5 Â 4 Â 5 cm complex mass in the pancreatic head. Abdominal CT with IV contrast was performed (Fig. 1). The initial radiology report described a pancreas mass with a dilated hepatic artery nearby.HPB multidisciplinary review of the images diagnosed a partially thrombosed, giant hepatic artery aneurysm measuring 4 Â 5 cm, arising just distal to the common hepatic artery origin. The patient

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“…Hepatic artery aneurysm (HAA) is the second most common type of visceral aneurysm, following splenic artery aneurysm. The prevalence of HAAs varies from 0.002% [3,4] to 0.4% [4,5] of all arterial aneurysms and from 12% [3] to 20% of splanchnic aneurysms [1,5,6,7,8,9].…”

Section: Introductionmentioning

confidence: 99%

Giant Hepatic Artery Aneurysm

Gossili

2019

Diagnostics

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Hepatic artery aneurysm (HAA) is the second most common type of visceral aneurysm. Giant HAAs (larger than 5 cm) are very rare. We present a case of an asymptomatic giant hepatic artery aneurysm (diameter 10.7 cm) discovered as an incidental finding on an 18F-fludeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) scan of a patient admitted for pretreatment staging of urothelial carcinoma.

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Endovascular embolization of a giant hepatic artery aneurysm

Cited by 3 publications

References 9 publications

Surgical treatment for common hepatic aneurysm. Original one-step technique

Surgical treatment for common hepatic aneurysm. Original one-step technique

Correct identification of visceral artery aneurysms is critical

Giant Hepatic Artery Aneurysm

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