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Percutaneous hepatic pseudoaneurysm exclusion using a pericardium covered stent
Marco Ferlini1, Pietro Quaretti, Tommaso Cascella
1UO Cardiologia, Laboratorio di Emodinamica, Fondazione IRCCS, Policlinico San Matteo, Pavia, Italy. marco.ferlini@gmail.com
Journal of Cardiovascular Medicine (Hagerstown, Md.)
|April 14, 2012
Summary
Visceral artery pseudoaneurysms are rare surgical complications. Percutaneous exclusion with a stent successfully treated a large hepatic artery pseudoaneurysm, confirming a good outcome.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Abdominal Imaging
Background:
- Visceral artery pseudoaneurysms (PA) are uncommon but serious complications following abdominal surgery.
- The natural history and unpredictable progression of PA necessitate timely intervention.
- Early diagnosis and treatment are crucial for managing these rare vascular lesions.
Observation:
- A 77-year-old male presented with a large hepatic artery pseudoaneurysm.
- Computed tomography (CT) was instrumental in diagnosing the pseudoaneurysm.
- The patient had a history of abdominal surgery, a known risk factor for PA.
Findings:
- Successful percutaneous exclusion of the hepatic artery pseudoaneurysm was achieved.
- A pericardium-covered stent was utilized for the endovascular repair.
- Staged CT imaging demonstrated the technical success and favorable outcome of the procedure.
Implications:
- Percutaneous exclusion represents a viable and effective treatment option for visceral artery pseudoaneurysms.
- This case highlights the importance of advanced imaging and endovascular techniques in managing complex vascular pathologies.
- Successful treatment can prevent potentially life-threatening complications associated with untreated pseudoaneurysms.
