Aneurysmectomy and revascularization of a large hepatic artery aneurysm

Cameron D. Adkisson, Lens Sibulesky, George N. Collis, Daniel W. McLaughlin, W. A. Oldenburg, Justin H. Nguyen

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Aneurysms of the hepatic artery are rare, but are associated with significant mortality because of their lack of symptoms at presentation and risk of rupture. We report a case of an enlarging 4-cm hepatic artery aneurysm involving the proximal common hepatic artery to the bifurcation of the right and left hepatic arteries which was found incidentally on ultrasound examination. Endovascular treatment with a stent was considered, but because of the location of the aneurysm as well as the presence of significant thrombosis involving the right and left hepatic arteries, aneurysmectomy and revascularization using saphenous vein was performed. Doppler ultrasound measurements demonstrated good flow through the graft postoperatively and at 1-month follow-up. Although a variety of endovascular techniques exist to treat hepatic artery aneurysms, our results indicate that open excision and revascularization may be required and can have a good outcome.

Original languageEnglish (US)
Pages (from-to)556.e11-556.e15
JournalAnnals of Vascular Surgery
Volume25
Issue number4
DOIs
StatePublished - May 2011

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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    Adkisson, C. D., Sibulesky, L., Collis, G. N., McLaughlin, D. W., Oldenburg, W. A., & Nguyen, J. H. (2011). Aneurysmectomy and revascularization of a large hepatic artery aneurysm. Annals of Vascular Surgery, 25(4), 556.e11-556.e15. https://doi.org/10.1016/j.avsg.2010.09.025