scholarly journals Endovascular Stenting of Large Hepatic Artery Aneurysm: Case Report

2020 ◽  
pp. 1-4
Author(s):  
Praveen Peddu ◽  
Essam Hashem ◽  
Praveen Peddu
Keyword(s):  
Hepatic Artery ◽  
Artery Aneurysm ◽  
Artery Occlusion ◽  
Covered Stents ◽  
Endovascular Management ◽  
Invasive Treatment ◽  
Contrast Extravasation ◽  
Hepatic Artery Aneurysm ◽  
Impaired Liver Function ◽  
Clinical Consequences

Background: Large hepatic artery aneurysms are rare, especially spontaneous ones without history of hepatopancreatobiliary surgery or trauma. They are serious and need attention due to risk of spontaneous rupture. Management depends on local expertise with endovascular management being the preferred option, and surgical repair usually reserved to ruptured aneurysms in hemodynamically unstable patients. Methods: A 54-year-old female patient was referred to our hospital for treatment of incidentally discovered large hepatic artery aneurysm without obvious etiology. The decision was made to attempt percutaneous endovascular management at the interventional radiology unit. Result: The aneurysm sac was successfully excluded using covered stents. This was complicated by right hepatic artery occlusion and clinically insignificant contrast extravasation. These complications did not have any clinical sequel in terms of hemodynamic stability or impaired liver function. The patient was safely discharged few days after the procedure. Conclusion: Endovascular management of spontaneous large hepatic artery aneurysms is effective. Potential complications include hepatic artery occlusion and dissection, which may or may not have serious clinical consequences. This offers a less invasive treatment option compared to surgery.

scholarly journals Management of a common and proper hepatic artery aneurysm

2021 ◽  
Vol 7 (2) ◽  
pp. 283-285
Author(s):  
Isabella Graham ◽  
John Kanitra ◽  
Richard Berg ◽  
Jimmy Haouilou
Keyword(s):  
Hepatic Artery ◽  
Artery Aneurysm ◽  
Proper Hepatic Artery ◽  
Hepatic Artery Aneurysm

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.

scholarly journals The Aftermath of a Hepatic Artery Aneurysm—A Rare Etiology of Biliary Obstruction!

2017 ◽  
Vol 10 ◽  
pp. 117955221771143 ◽  
Author(s):  
Catherine Linzay ◽  
Abhishek Seth ◽  
Kunal Suryawala ◽  
Ankur Sheth ◽  
Moheb Boktor ◽  
...  
Keyword(s):  
Obstructive Jaundice ◽  
Hepatic Artery ◽  
Significant Risk ◽  
Artery Aneurysm ◽  
Biliary Tree ◽  
Visceral Artery ◽  
Biliary Stenting ◽  
Hepatic Artery Aneurysm ◽  
Skin Imaging ◽  
Visceral Artery Aneurysms

Background: Hepatic artery aneurysms (HAAs) constitute 14% to 20% of visceral artery aneurysms. Most HAAs are asymptomatic. Although rare, obstructive jaundice due to external bile duct compression or rupture of the HAA into the biliary tree with occlusion of the lumen from blood clots has been reported. Case presentation: A 56-year-old white man presented to an outside hospital with symptoms of obstructive jaundice, including abdominal pain and yellowing of the skin. Imaging showed a large HAA. Patient was transferred to our hospital where an endoscopic retrograde cholangiopancreatography with biliary stenting was performed. This was followed by coil embolization of the HAA with improvement in symptoms and liver chemistries. Conclusions: Most clinicians agree that management of HAA is highly variable and depends on clinical presentation and anatomic location. Biliary stenting provides temporary relief for patients with obstructive jaundice. Definitive options include open aneurysmal repair versus endovascular therapy. Hepatic artery aneurysms represent a significant risk for hemorrhage and therefore must be addressed promptly once discovered.

Hepatic Artery Aneurysm

2003 ◽  
Vol 17 (2) ◽  
pp. 214-216 ◽  
Author(s):  
Mete Dolapci ◽  
Sadik Ersoz ◽  
Nuri A. Kama
Keyword(s):  
Hepatic Artery ◽  
Artery Aneurysm ◽  
Hepatic Artery Aneurysm

Giant hepatic artery aneurysm as a rare cause of obstructive jaundice: Radiological evaluation

2006 ◽  
Vol 58 (1) ◽  
pp. 9-12 ◽  
Author(s):  
Ioannis Tsitouridis ◽  
Konstantinos Tsinoglou ◽  
Christos Papastergiou ◽  
Christos Tsandiridis ◽  
Sofia Stratilati
Keyword(s):  
Obstructive Jaundice ◽  
Hepatic Artery ◽  
Artery Aneurysm ◽  
Radiological Evaluation ◽  
Hepatic Artery Aneurysm

RUPTURED HEPATIC ARTERY ANEURYSM IN POLYARTERITIS NODOSA: A CASE REPORT AND LITERATURE REVIEW

1997 ◽  
Vol 67 (12) ◽  
pp. 904-906 ◽  
Author(s):  
Christina W. K. Choy ◽  
Peter A. Smith ◽  
Christopher Frazer ◽  
Gary P. Jeffrey
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Hepatic Artery ◽  
Polyarteritis Nodosa ◽  
Artery Aneurysm ◽  
Hepatic Artery Aneurysm
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