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Hepatic artery aneurysm
Mete Dolapci1, Sadik Ersoz, Nuri A Kama
14th Department of Surgery, Ankara Numune Hospital, Ankara, Turkey.
Annals of Vascular Surgery
|March 5, 2003
Summary
Diagnosing rare hepatic artery aneurysms before rupture is uncommon. This case highlights successful pre-rupture diagnosis and surgical repair of two hepatic artery aneurysms using a saphenous vein graft.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Diagnostic Imaging
Background:
- Hepatic artery aneurysms are rare vascular abnormalities.
- Pre-rupture diagnosis of hepatic artery aneurysms is infrequently achieved.
- Aneurysms can present asymptomatically or with non-specific symptoms.
Observation:
- A 53-year-old woman presented with symptoms suggestive of gallstones.
- Abdominal ultrasound and CT revealed two cystic lesions in the hepatoduodenal ligament.
- Color Doppler and arteriography confirmed two aneurysms: one on the common hepatic artery and another at the gastroduodenal artery bifurcation.
Findings:
- Successful pre-rupture diagnosis of two hepatic artery aneurysms.
- Surgical intervention involved interposing a saphenous vein graft.
- The graft connected the common hepatic artery origin to the right and left hepatic artery bifurcation.
Implications:
- This case demonstrates the feasibility of early diagnosis and successful surgical management of hepatic artery aneurysms.
- Pre-operative diagnosis and timely intervention can prevent potentially life-threatening rupture.
- Saphenous vein grafting is an effective reconstructive technique for complex hepatic artery aneurysms.