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Aneurysm I: Introduction

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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...

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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...

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Updated: Jul 7, 2026

Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach

Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach

Published on: August 8, 2025

[Hepatic artery aneurysm].

Younes Bensaid¹, Badre Rhissassi, Nabil Sedki

¹Service de chirurgie vasculaire, Hôpital Ibn Sina, Rabat, Maroc.

Presse Medicale (Paris, France : 1983)

|February 23, 2008

Summary

Hepatic artery aneurysms are rare but serious vascular conditions. Early diagnosis and surgical repair, as shown in two case studies, are crucial for favorable outcomes and preventing rupture.

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Area of Science:

Vascular Surgery
Abdominal Imaging
Gastroenterology

Background:

Hepatic artery aneurysms are uncommon vascular lesions.
Diagnosis is frequently delayed until rupture, leading to high mortality rates.

Observation:

A 70-year-old woman with an asymptomatic common hepatic artery aneurysm identified during ultrasound for abdominal pain.
A 54-year-old man with a right hepatic artery aneurysm that ruptured into the gallbladder.

Findings:

Successful open aneurysm repair and hepatosplenic bypass in the first patient.
Diagnosis of the second patient's aneurysm occurred post-rupture.

Implications:

Highlights the importance of considering hepatic artery aneurysms in abdominal diagnoses.
Emphasizes the need for timely diagnosis and appropriate surgical intervention.
Reviews current literature on clinical features, diagnosis, and treatment of these rare aneurysms.