Hepatic Artery Aneurysm. Case report

Arend, P; Douillez, V.

doi:10.1080/00015458.2007.11680084

Cited by 8 publications

(22 citation statements)

References 24 publications

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“…2,3,5,9 It has been reported that extrahepatic aneurysms are located in the common hepatic artery in 63% of reported cases, in the right hepatic artery in 28% of cases, in the left hepatic artery in 5% of cases, and in both the right and left hepatic arteries in 4% of cases. [3][4][5]8,10 Furthermore, a general trend has been noted in which intrahepatic aneurysms tend to be located in the right hepatic artery. 4 The aneurysmal diameters reported have ranged between 1.5 and 14 cm, with the mean diameter being calculated at 3.6 cm.…”

Section: Discussionmentioning

confidence: 99%

“…4 The aneurysmal diameters reported have ranged between 1.5 and 14 cm, with the mean diameter being calculated at 3.6 cm. 9 HAAs are solitary in 92% of cases and multiple in 8% of cases, 2,[8][9][10] and about one third of HAA patients present with other visceral artery aneurysms. 3,5,8,10 Although HAA has been diagnosed in all age groups and both sexes, most patients are adults (age range, 20-80 years) and male.…”

Section: Discussionmentioning

confidence: 99%

“…9 HAAs are solitary in 92% of cases and multiple in 8% of cases, 2,[8][9][10] and about one third of HAA patients present with other visceral artery aneurysms. 3,5,8,10 Although HAA has been diagnosed in all age groups and both sexes, most patients are adults (age range, 20-80 years) and male. 1,2,8,10 The exact etiology of HAA remains to be elucidated, and the ratio of possible risk factors has certainly changed during the past century.…”

Section: Discussionmentioning

confidence: 99%

“…3,5,8,10 Although HAA has been diagnosed in all age groups and both sexes, most patients are adults (age range, 20-80 years) and male. 1,2,8,10 The exact etiology of HAA remains to be elucidated, and the ratio of possible risk factors has certainly changed during the past century. At the beginning of the 20th century, most HAAs were considered to result from endocarditis-associated infection or inflammation.…”

Section: Discussionmentioning

confidence: 99%

“…1,5,7 Embolization, percutaneous transluminal angioplasty/stenting, or surgical repair is widely applied, whereas another less frequent option is excision with splenic artery transposition graft. [1][2][3][4][5][6][7][8][9][10] Here, we present a case of hepatic artery aneurysm that was successfully repaired with splenic artery transposition graft.…”

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confidence: 99%

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Splenic Artery Transposition Graft Usage for the Supply of the Right Hepatic Artery: A Case Report

Odabaşı

Eris

Yıldız

et al. 2013

International Surgery

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Hepatic artery aneurysms are responsible for 12% to 20% of all visceral arterial aneurysms. Because most patients are asymptomatic, this disease is generally diagnosed incidentally during radiologic examination. Aneurysm rupture develops in 14% to 80% of cases, depending on the aneurysmatic segment's diameter and location, as well as other etiologic factors. Mortality rates associated with rupture range between 20% and 70%. Thus, early diagnosis and timely initiation of medical interventions are critical to improve survival rates. Here, we present a male patient, age 69 years, with a hepatic artery aneurysm that was detected incidentally. The 3-cm aneurysm was detected on contrastenhanced computed tomography and extended from the common hepatic artery to the hepatic trifurcation. A laparotomy was performed using a right subcostal incision. After dissection of the hepatoduodenal ligament, the common, right, and left hepatic arteries, as well as the gastroduodenal artery, were suspended separately. Then, the aneurysmatic hepatic artery segment was resected, and the gastroduodenal artery stump was ligated. An end-to-end anastomosis was formed between the left and common hepatic arteries, followed by an end-to-end anastomosis formed between the right hepatic artery and splenic artery using a splenic artery transposition graft. Postoperative follow-up examinations showed that both hepatic arterial circulations were good, and no splenic infraction had developed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Splenic Artery Transposition Graft Usage for the Supply of the Right Hepatic Artery: A Case Report

Odabaşı

Eris

Yıldız

et al. 2013

International Surgery

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Leaking hepatic artery aneurysm successfully treated with covered stent

Hashim

Allaqaband

Bajwa

2009

Cathet Cardio Intervent

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Hepatic artery aneurysm (HAA) is rare with reported incidence of 0.02%. It accounts for approximately 12-20% of all visceral aneurysms. The reported risk of rupture ranges from 14% to 80% of all HAAs. Traditionally, HAA has been treated surgically or by transcatheter coil embolization. There are few published reports of percutaneous HAA stenting. We report a case of a 72-year-old female with leaking HAA who was successfully treated with endovascular stenting. The authors include a review of the relevant literature.

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