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[Four patients with aneurysm of the hepatic artery]

E D Ponfoort1, H D W M de van Pavoordt, T Th C Overtoom

  • 1St Antonius Ziekenhuis, Nieuwegein.

Nederlands Tijdschrift Voor Geneeskunde
|July 18, 2006
PubMed

Insights

Hepatic artery aneurysms, often detected with advanced imaging, require treatment to prevent rupture. Successful outcomes were achieved in four patients using surgical repair, stenting, or artery occlusion.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Hepatology

Background:

  • Hepatic artery aneurysms (HAAs) are increasingly diagnosed due to enhanced imaging capabilities.
  • Aneurysms >2 cm diameter pose a significant rupture risk, with mortality rates up to 40%.

Observation:

  • Four patients (2 male, 2 female; ages 71-80) presented with symptomatic or asymptomatic extrahepatic HAAs.
  • Presentations included asymptomatic, biliary duct rupture, and upper abdominal pain.

Findings:

  • Surgical excision with venous interposition graft for two patients.
  • Endovascular treatment with a coated stent for one patient.
  • Artery occlusion with spontaneous hepatic circulation recovery for one patient.

Implications:

  • All four patients achieved successful treatment outcomes.
  • Elective treatment is recommended for HAAs >2 cm to mitigate rupture risk.
  • Endovascular options (stenting, coiling) are primary considerations; surgery with venous reconstruction is preferred for compromised intestinal circulation.

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