scholarly journals A pseudoaneurysm of the right hepatic artery treated successfully with a stent graft – A case report

2020 ◽  
Vol 77 ◽  
pp. 407-411
Author(s):  
Amber C. Traa ◽  
Miriam L. Hoven-Gondrie ◽  
Arjen L. Diederik
Keyword(s):  
Case Report ◽  
Hepatic Artery ◽  
Stent Graft ◽  
Right Hepatic Artery ◽  
The Right

scholarly journals Duplication of cystic artery: a case report

2015 ◽  
Vol 04 (03) ◽  
pp. 153-154
Author(s):  
Satyajit Mitra ◽  
Alakesh Gogoi
Keyword(s):  
Case Report ◽  
Hepatic Artery ◽  
Cystic Duct ◽  
Surgical Intervention ◽  
Cystic Artery ◽  
Right Hepatic Artery ◽  
Usual Site ◽  
The Right ◽  
Single Branch

AbstractThe cystic artery supplies oxygenated blood to the gallbladder and cystic duct. It usually arises from the right hepatic artery as a single branch, but cases with double cystic artery has also been reported from time to time. During a routine dissection class, the authors found a case in which two cystic arteries originated from the right hepatic artery to supply the two surfaces of gallbladder separately. As the extrahepatic biliary region is the most usual site of surgical intervention, the reporting of any form of variation in this region becomes a necessity.

scholarly journals Spontaneous dissection of the superior mesenteric artery and the right hepatic artery: a case report

2010 ◽  
Vol 4 (1) ◽  
Author(s):  
Nicolas C Buchs ◽  
Pierre Charbonnet ◽  
Frank Schwenter ◽  
Christoph D Becker ◽  
Philippe Morel ◽  
...  
Keyword(s):  
Case Report ◽  
Superior Mesenteric Artery ◽  
Hepatic Artery ◽  
Mesenteric Artery ◽  
Right Hepatic Artery ◽  
The Right ◽  
Spontaneous Dissection

scholarly journals Abnormal right hepatic artery injury resulting in right hepatic atrophy: diagnosed by laparoscopic cholecystectomy

Open Medicine ◽  
2015 ◽  
Vol 10 (1) ◽  
Author(s):  
Valter Martino ◽  
Alessia Ferrarese ◽  
Marco Bindi ◽  
Silvia Marola ◽  
Valentina Gentile ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Case Report ◽  
Hepatic Artery ◽  
Vascular Lesions ◽  
Biliary Surgery ◽  
Right Hepatic Artery ◽  
Hepatic Atrophy ◽  
Hepatic Artery Injury ◽  
Asymptomatic Case ◽  
The Right

Abstract An intact hepatic artery is the gateway to successful hepato-biliary surgery. Introduction of laproscopic cholecystectomy (LC) has stimulated a renewed interest in the anatomy of hepatic artery. In this case report we have highlighted importance of variations of right hepatic artery in terms of origin and course We present a rare asymptomatic case of liver atrophy due to an intraoperative lesion of right hepatic artery. We also performed a literature review about surgical vascular lesions and tried to confirm the right concept behind “non trivial procedure” of the LC.

Percutaneous Trans-Hepatic Embolization of an Iatrogenic Extra-Hepatic Pseudoaneurysm of the Right Hepatic Artery in a Patient With Previous Occlusion of the Proper Hepatic Artery: An Endovascular Procedure to Avoid a Difficult Surgical Repair

2021 ◽  
pp. 153857442110225
Author(s):  
Giuseppe S. Gallo ◽  
Roberto Miraglia ◽  
Luigi Maruzzelli ◽  
Francesca Crinò ◽  
Christine Cannataci ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Hepatic Artery ◽  
Surgical Repair ◽  
Endovascular Embolization ◽  
Proper Hepatic Artery ◽  
Ultrasound Guided ◽  
Complete Occlusion ◽  
Right Hepatic Artery ◽  
Ultrasonographic Guidance ◽  
The Right

We report a case of successful percutaneous transhepatic, embolization of an iatrogenic extra-hepatic pseudoaneurysm (PsA) of the right hepatic artery (RHA) under combined fluoroscopic and ultrasonographic guidance. A 73-year-old man underwent percutaneous transhepatic biliary drainage placement in another hospital, complicated by haemobilia and development of a RHA PsA. Endovascular embolization was attempted, resulting in coil embolization of the proper hepatic artery, and persistence of the PsA. At this point, the patient was referred to our hospital. Computed tomography and direct angiography confirmed the iatrogenic extra-hepatic PsA of the RHA, refilled by small collaterals from the accessory left hepatic artery (LHA) and coil occlusion of the proper hepatic artery. Attempted selective catheterization of these vessels was unsuccessful due to the tortuosity and very small caliber of the intra-hepatic collaterals, the latter precluding endovascular treatment of the PsA. Percutaneous trans-hepatic combined fluoroscopic and ultrasound-guided embolization of the PsA was performed with Lipiodol® and cyanoacrylate-based glue (Glubran®2). Real time fluoroscopic images and computed tomography confirmed complete occlusion of the pseudoaneurysm. Surgical repair, although feasible, was considered at high risk. In our patient, we decided to perform a percutaneous trans-hepatic combined fluoroscopic and ultrasound-guided embolization of the PsA using a mix of Lipiodol® and Glubran®2 because of the fast polymerization time of the glue allowing the complete occlusion of the PsA in few seconds, thus eliminating the risk of coil migration, reducing the risk of PsA rupture and avoid a difficult surgical repair.

Anomalous arterial supply to the gallbladder from the superior mesenteric artery: angiography and computed tomography findings in two cases

2008 ◽  
Vol 49 (9) ◽  
pp. 987-990 ◽  
Author(s):  
Y. Katada ◽  
M. Kishino ◽  
K. Ishihara ◽  
T. Takeguchi ◽  
H. Shibuya
Keyword(s):  
Computed Tomography ◽  
Superior Mesenteric Artery ◽  
Hepatic Artery ◽  
Mesenteric Artery ◽  
Cystic Artery ◽  
Arterial Supply ◽  
Hepatic Arteries ◽  
Right Hepatic Artery ◽  
Pancreatic Artery ◽  
The Right

The arterial supply of the gallbladder usually arises from the right hepatic artery. Other origins include the left, proper, and common hepatic arteries. We report cases of the cystic artery arising from the superior mesenteric artery and arising from the dorsal pancreatic artery originating in turn from the superior mesenteric artery, as demonstrated by angiography and computed tomography.

scholarly journals An Unusual Cause of an Intraperitoneal Bleed: Bleeding Hepatic Artery Pseudoaneurysm Due to an Eroding Cholecystitis

2020 ◽  
Vol 8 ◽  
pp. 232470962098243
Author(s):  
Khalid Sawalha ◽  
Anthony Kunnumpurath ◽  
Ronald McCann
Keyword(s):  
Hepatic Artery ◽  
Open Cholecystectomy ◽  
Artery Aneurysm ◽  
Hemodynamic Instability ◽  
Central Line ◽  
Hepatic Artery Aneurysm ◽  
Artery Pseudoaneurysm ◽  
Right Hepatic Artery ◽  
Abdominal Ct Scan ◽  
The Right

An 80-year-old male patient presented with sepsis secondary to infected central line which was placed for native aortic valve endocarditis. He also had melena and abdominal pain prior to his presentation. Abdominal computed tomography (CT) was done, which showed cholelithiasis. Esophagogastroduodenoscopy was also done with no source of bleeding identified. Later, he developed hemodynamic instability requiring aggressive fluid resuscitation and multiple packed blood cell transfusions. In view of his hemodynamic instability, a repeat abdominal CT scan showed air droplets within the gallbladder pneumobilia, ascites, diverticulosis, and a bleeding infrahepatic hematoma measuring 6 × 10 cm, which was not on his prior scan 2 days prior. A mesenteric arteriogram was performed that identified an aneurysm of the right hepatic artery with no active bleeding; therefore, it was coiled. Due to his continued clinical decompensation, he underwent an urgent open cholecystectomy, in which serosanguineous fluid, cholecystocolic fistula, and old clot related to his previous bleed were encountered. However, control of bleeding was difficult, and the patient expired. We report this case of right hepatic artery aneurysm that we believe its etiology was related to eroding cholecystitis.

Stent Graft Placement in the Top-Down Direction for Treating Traumatic Intra-Abdominal Suprahepatic Inferior Vena Cava Rupture: A Case Report

2021 ◽  
pp. 152660282110250
Author(s):  
Yun Chul Park ◽  
Hyoung Ook Kim ◽  
Nam Yeol Yim ◽  
Byung Chan Lee ◽  
Chan Park ◽  
...  
Keyword(s):  
Case Report ◽  
Inferior Vena Cava ◽  
Stent Graft ◽  
Inferior Vena ◽  
Vena Cava ◽  
Endovascular Management ◽  
Top Down ◽  
Life Threatening ◽  
The Right ◽  
Suprahepatic Inferior Vena Cava

Purpose The treatment of suprahepatic inferior vena cava (IVC) ruptures results in high mortality rates due to difficulty in performing the surgical procedure. Here, we present a case of successful endovascular management of a life-threatening suprahepatic IVC rupture with top-down placement of a stent graft. Case Report A 33-year-old woman was involved in a traffic accident and presented to our emergency department due to unstable hemodynamics after blunt abdominal wall trauma. Computed tomography (CT) revealed massive extravasation of contrast agent from the suprahepatic IVC, which suggested traumatic suprahepatic IVC rupture. To seal the IVC, to salvage major hepatic veins, and to prevent migration of the stent graft into the right side of the heart after placement, an aortic cuff with a proximal hook was introduced in a top-down direction via the right internal jugular vein. After closure of the injured IVC, the patient’s hemodynamics improved, and additional laparotomy was performed. After 3 months of trauma care, the patient recovered and was discharged. Follow-up CT after 58 months showed a patent stent graft within the IVC. Conclusion Endovascular management with top-down placement of a stent graft is a viable option for emergent damage control in patients with life-threatening hemorrhage from IVC rupture.

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