Background: Visceral artery aneurysms occur in 0.01–0.2% of the population. Splenic artery is the most common affected followed by hepatic artery. However, pseudoaneurysm is more common in the hepatic artery. The symptoms are vague and most of the times, it is incidentally diagnosed on ultrasound or CT scan of abdomen. Ruptured pseudoaneurysm has high mortality. Hence, timely intervention is of paramount significance. Case information: We present a 48-year-old male who presented with pain epigastrium and jaundice and had been diagnosed with chronic pancreatitis. CT abdomen showed well defined round partially thrombosed right hepatic artery pseudo-aneurysm in relation to head of pancreas. The aberrant right hepatic artery was arising from super mesenteric artery. This hepatic artery pseudoaneurysm was managed successfully by implant of covered stent. Discussion: The treatment of visceral artery aneurysms involves either early surgery or endovascular treatment. Open surgical repair has very high mortality and morbidity. Open surgical repair is preferred in patients who are hemodynamically unstable and require emergency surgery. Conclusion: Hepatic artery pseudoaneurysm can be successfully managed by endovascular interventional techniques. Excluding pseudoaneurysm from parent artery by covered stent is a feasible option with high success rate and patency of feeding artery.
| Published in | International Journal of Clinical and Experimental Medical Sciences (Volume 9, Issue 5) |
| DOI | 10.11648/j.ijcems.20230905.11 |
| Page(s) | 75-78 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Pseudo Aneurysm, Replaced Hepatic Artery, Endovascular, Embolization
| [1] | Huang Y-K, Hsieh H-C, Tsai F-C, Chang SH, MS L, Ko PJ. Visceral artery aneurysm: risk factor analysis and therapeutic opinion. Eur J Vasc Endovasc Surg. 2007; 33 (3): 293–301. |
| [2] | Belli AM, Markose G, Morgan R. The role of interventional radiol- ogy in the management of abdominal visceral artery aneurysms. Cardiovasc Intervent Radiol. 2012; 35 (2): 234–43. |
| [3] | Stanley JC, Wakefield TW, Graham LM, et al. Clinical importance and management of splanchnic artery aneurysms. J Vasc Surg 1986; 3: 836. |
| [4] | Berceli SA. Hepatic and splenic artery aneurysms. Semin Vasc Surg 2005; 18: 196. |
| [5] | Tijani Y, Belmir H, Zahdi O, et al. Giant anevrisms of the splenic artery about six cases. J Med Vasc 2020; 45: 248. |
| [6] | Chiesa R, Astore D, Guzzo G, et al. Visceral artery aneurysms. Ann Vasc Surg 2005; 19: 42. |
| [7] | Huang YK, Hsieh HC, Tsai FC, et al. Visceral artery aneurysm: risk factor analysis and therapeutic opinion. Eur J Vasc Endovasc Surg 2007; 33: 293. |
| [8] | Gehlen JM, Heeren PA, Verhagen PF, Peppelenbosch AG. Visceral artery aneurysms. Vasc Endovascular Surg 2011; 45: 681. |
| [9] | Schweigert M, Adamus R, Stadlhuber RJ, Stein HJ. Endovascular stent--graft repair of a symptomatic superior mesenteric artery aneurysm. Ann Vasc Surg 2011; 25: 841. e5. |
| [10] | Ha JF, Phillips M, Faulkner K. Splenic artery aneurysm rupture in pregnancy. Eur J Obstet Gynecol Reprod Biol 2009; 146: 133. |
| [11] | Ferrero E, Viazzo A, Ferri M, et al. Management and urgent repair of ruptured visceral artery aneurysms. Ann Vasc Surg 2011; 25: 981. e7. |
| [12] | Hogendoorn W, Lavida A, Hunink MG, et al. Cost-effectiveness of endovascular repair, open repair, and conservative management of splenic artery aneurysms. J Vasc Surg 2015; 61: 1432. |
| [13] | Abbas MA, Fowl RJ, Stone WM, et al. Hepatic artery aneurysm: factors that predict complications. J Vasc Surg 2003; 38: 41. |
| [14] | Michels NA. Newer anatomy of the liver and its variant blood supply and collateral circulation. Am J Surg. 1966; 112: 337-47. |
| [15] | Rebibo L, Peltier J, Gerin O, et al. Unusual course of the aberrant right hepatic artery running through the pancreatic parenchyma during modified Frey’s procedure. Morphologie. 2014; 98: 182-6. |
| [16] | Cherian PT, Hegab B, Oliff SP, et al. The management of an accessory or replaced right hepatic artery during multiorgan retrieval: results of an angiographic study. Liver Transpl. 2010; 16: 742-7. |
APA Style
Rajeev Bhardwaj, Rajesh Nandal, Ranjana Gupta, Tania Pruthi, Saurav Mittal. (2023). Endovascular Management of Pseudo-Aneurysm of Hepatic Artery Arising from Superior Mesenteric Artery . International Journal of Clinical and Experimental Medical Sciences, 9(5), 75-78. https://doi.org/10.11648/j.ijcems.20230905.11
ACS Style
Rajeev Bhardwaj; Rajesh Nandal; Ranjana Gupta; Tania Pruthi; Saurav Mittal. Endovascular Management of Pseudo-Aneurysm of Hepatic Artery Arising from Superior Mesenteric Artery . Int. J. Clin. Exp. Med. Sci. 2023, 9(5), 75-78. doi: 10.11648/j.ijcems.20230905.11
AMA Style
Rajeev Bhardwaj, Rajesh Nandal, Ranjana Gupta, Tania Pruthi, Saurav Mittal. Endovascular Management of Pseudo-Aneurysm of Hepatic Artery Arising from Superior Mesenteric Artery . Int J Clin Exp Med Sci. 2023;9(5):75-78. doi: 10.11648/j.ijcems.20230905.11
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Download@article{10.11648/j.ijcems.20230905.11,
author = {Rajeev Bhardwaj and Rajesh Nandal and Ranjana Gupta and Tania Pruthi and Saurav Mittal},
title = {Endovascular Management of Pseudo-Aneurysm of Hepatic Artery Arising from Superior Mesenteric Artery
},
journal = {International Journal of Clinical and Experimental Medical Sciences},
volume = {9},
number = {5},
pages = {75-78},
doi = {10.11648/j.ijcems.20230905.11},
url = {https://doi.org/10.11648/j.ijcems.20230905.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20230905.11},
abstract = {Background: Visceral artery aneurysms occur in 0.01–0.2% of the population. Splenic artery is the most common affected followed by hepatic artery. However, pseudoaneurysm is more common in the hepatic artery. The symptoms are vague and most of the times, it is incidentally diagnosed on ultrasound or CT scan of abdomen. Ruptured pseudoaneurysm has high mortality. Hence, timely intervention is of paramount significance. Case information: We present a 48-year-old male who presented with pain epigastrium and jaundice and had been diagnosed with chronic pancreatitis. CT abdomen showed well defined round partially thrombosed right hepatic artery pseudo-aneurysm in relation to head of pancreas. The aberrant right hepatic artery was arising from super mesenteric artery. This hepatic artery pseudoaneurysm was managed successfully by implant of covered stent. Discussion: The treatment of visceral artery aneurysms involves either early surgery or endovascular treatment. Open surgical repair has very high mortality and morbidity. Open surgical repair is preferred in patients who are hemodynamically unstable and require emergency surgery. Conclusion: Hepatic artery pseudoaneurysm can be successfully managed by endovascular interventional techniques. Excluding pseudoaneurysm from parent artery by covered stent is a feasible option with high success rate and patency of feeding artery.
},
year = {2023}
}
TY - JOUR T1 - Endovascular Management of Pseudo-Aneurysm of Hepatic Artery Arising from Superior Mesenteric Artery AU - Rajeev Bhardwaj AU - Rajesh Nandal AU - Ranjana Gupta AU - Tania Pruthi AU - Saurav Mittal Y1 - 2023/10/28 PY - 2023 N1 - https://doi.org/10.11648/j.ijcems.20230905.11 DO - 10.11648/j.ijcems.20230905.11 T2 - International Journal of Clinical and Experimental Medical Sciences JF - International Journal of Clinical and Experimental Medical Sciences JO - International Journal of Clinical and Experimental Medical Sciences SP - 75 EP - 78 PB - Science Publishing Group SN - 2469-8032 UR - https://doi.org/10.11648/j.ijcems.20230905.11 AB - Background: Visceral artery aneurysms occur in 0.01–0.2% of the population. Splenic artery is the most common affected followed by hepatic artery. However, pseudoaneurysm is more common in the hepatic artery. The symptoms are vague and most of the times, it is incidentally diagnosed on ultrasound or CT scan of abdomen. Ruptured pseudoaneurysm has high mortality. Hence, timely intervention is of paramount significance. Case information: We present a 48-year-old male who presented with pain epigastrium and jaundice and had been diagnosed with chronic pancreatitis. CT abdomen showed well defined round partially thrombosed right hepatic artery pseudo-aneurysm in relation to head of pancreas. The aberrant right hepatic artery was arising from super mesenteric artery. This hepatic artery pseudoaneurysm was managed successfully by implant of covered stent. Discussion: The treatment of visceral artery aneurysms involves either early surgery or endovascular treatment. Open surgical repair has very high mortality and morbidity. Open surgical repair is preferred in patients who are hemodynamically unstable and require emergency surgery. Conclusion: Hepatic artery pseudoaneurysm can be successfully managed by endovascular interventional techniques. Excluding pseudoaneurysm from parent artery by covered stent is a feasible option with high success rate and patency of feeding artery. VL - 9 IS - 5 ER -
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