Management of hepatic artery aneurysm: A case series

Ashley Rosenberg; Katarzyna Trebska-McGowan; Trevor Reichman; Amit Sharma; Adrian Cotterell; Brian Strife; Aamir A. Khan; Vinay Kumaran; David A. Bruno; Marlon F. Levy; Chandra Shekhar Bhati

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저자정보: Ashley Rosenberg (Virginia Commonwealth University Health System) Katarzyna Trebska-McGowan (Virginia Commonwealth University Health System) Trevor Reichman (Virginia Commonwealth University Health System) Amit Sharma (Virginia Commonwealth University Health System) Adrian Cotterell (Virginia Commonwealth University Health System) Brian Strife (Virginia Commonwealth University Health System) Aamir A. Khan (Virginia Commonwealth University Health System) Vinay Kumaran (Virginia Commonwealth University Health System) David A. Bruno (Virginia Commonwealth University Health System) Marlon F. Levy (Virginia Commonwealth University Health System) Chandra Shekhar Bhati (Virginia Commonwealth University Health System)

저널정보: 한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제24권 제3호

발행연도: 2020.8

수록면: 333 - 338 (6page)

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Hepatic artery aneurysms are rare, but their diagnosis is important because of high mortality and complications. Common risk factors for developing these aneurysms include hypertension, vascular disease, pancreatitis, diabetes, tobacco use, autoimmune diseases, and previous transplantation. Frequent imaging for trauma and tumor surveillance has increased the incidence of naive hepatic aneurysms. These aneurysms can be difficult to manage, and it can be challenging to decide the correct treatment modality for the patient. Hereby, we present four cases of hepatic artery aneurysm and discuss various treatment options. Patient 1 suffered from a proper and right hepatic artery aneurysm discovered incidentally; repaired with an endovascular intervention later complicated by an endoleak which was further managed by another stenting. Patient 2 had a common hepatic artery aneurysm followed with serial imaging without any intervention. Patient 3 had a hepatic artery aneurysm and liver mass diagnosed concurrently. The patient underwent an open surgical repair of his aneurysm with graft and liver resection which was complicated later with rupture of aneurysm followed by surgical bypass repair. Patient 4 suffered from a large hepatic artery aneurysm causing bile duct compression. Her aneurysm was repaired open with splenic artery grafting. Patients were managed from careful observation to surgery with different outcomes.

#Hepatic artery aneurysm #Liver transplantation #Vascular diseases #Angiogram

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