Related Experiment Videos
[Hepatic artery aneurysm. Diagnosis and treatment]
O Røkke1, K Søndenaa, S Amundsen
1Kirurgisk avdeling, Haukeland Sykehus, Bergen.
Insights
Four patients with symptomatic hepatic artery aneurysms, three rupturing, were successfully treated between 1990-1995. Treatment varied from resection to embolization, demonstrating effective management of these rare vascular conditions.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Hepatobiliary Surgery
Background:
- Hepatic artery aneurysms are rare but can be life-threatening, especially when symptomatic or ruptured.
- Prompt diagnosis and appropriate treatment are crucial for managing hepatic artery aneurysms.
Observation:
- A series of four patients with symptomatic hepatic artery aneurysms treated between 1990 and 1995.
- Three of the four patients presented with aneurysm rupture, indicating a high risk of complications.
Findings:
- Two aneurysms were located in the common hepatic artery and treated with resection, one requiring vascular reconstruction.
- Two aneurysms ruptured in the distal hepatic arteries: one in the right hepatic artery treated with embolization, and one in the left hepatic artery treated with ligation, necessitating reoperation for liver necrosis.
Implications:
- Surgical resection, vascular reconstruction, and selective embolization are effective treatment modalities for hepatic artery aneurysms.
- Ligation of distal hepatic artery aneurysms carries a risk of complications such as liver necrosis, requiring careful consideration.
- This case series highlights the diverse clinical presentations and successful management strategies for hepatic artery aneurysms.
Abstract:
From 1990 until 1995, four patients were successfully treated for symptomatic aneurysm of the hepatic artery, with rupture in three of them. In two of the patients, the aneurysm was located in the common hepatic artery. In one patient it ruptured. Both aneurysms were resected. One patient also underwent vascular reconstruction. The other two aneurysms ruptured in the left and right hepatic artery respectively. The aneurysm in the right hepatic artery was treated by selective embolization. The aneurysm in the left hepatic artery was ligated, and the patient was subsequently reoperated on for septic necrosis of the left lobe of the liver.