Aneurysm of an anomalous hepatic artery

Abstract

successfully treated by prosthetic grafting is reported. This appears to be the forty-third patient to survive surs&al treatment for this condition. HeDatic arterv here has been managed by resection of the aneurysm The third of hepatic artery aneurysm and replacement with a Dacron prosthesis. The from an anomalous Position On the front of the aorta beneath the duodenojejunal aneurysm has a poor prognosis and operative treatment is justified when the diagnosis is made. While ligation will be required in some instances, excision of the aneurysm with restoration of arterial blood-flow to the liver is to be preferred. ANEURYSMS of the hepatic artery are relatively rare. A recent search of the literature reveals only 157 cases CASE REPORT A 67-year-old Italian woman presented to the Royal Prince Alfred Hospital with a 3-week history of upper abdominal pain, nausea, and anorexia. A barium meal was reported as showing a large ulcer on the lesser curvature of the stomach in the region of the antrum. A laparotomy was performed on 3 June, 1970. The stomach and duodenum appeared quite normal, but a pulsatile mass was felt behind the duodenojejunal flexure MESENTERIC ANOMAL HEPATIC ARTERY -1 I ANEURYSM FIG. I.-The position of the aneurysm. ARTERY 4 1 FIG. z-Repair of the hepatic artery with a Dacron prosthesis after excision of the aneurysm. (BristolJ Gonzales> and Chassin> I97O). Of 42 close to the abdominal aorta. Dissection in this area have been successfdlY treated and Only have survived the insertion of a Prosthetic graft. A further case of hepatic artery aneurysm presented revealed a fusiform aneurysm of an anterior branch of the abdominal aorta (Fig. I), measuring 2 cm. in length. After the aneurysm had been dissected further and its neck

Autologer Ersatz einer aneurysmatragenden Arteria hepatica mittels Veneninterponat

“…For surgical hepatic artery aneurysm repair many techniques have been described including restorative endo-aneurysmorhaphy, excision and end-to-end anastomosis, splenohepatic anastomosis, interposition of a prosthetic graft [19] and interposition of autogenous saphenous vein performed with good results in the past three decades [5,17,18,24,29]. The aneurysm of the patient of the current study was repaired with autologous tissue.…”

Hepatic Aneurysm: A Review

“…7 This complication was described in detail along with the surgical procedure used to treat the condition by Ariyan et al 7 Of the 47 successful cases the researchers found, the majority were treated with ligation, followed by excision, endoaneurysmorrhaphy, wrapping, wiring, hepatic lobectomy, and suturing of the aneurysm. 4,7,[17][18][19][20][21][22][23][24][25] In 1986 Curran and Taylor 9 reported that there had been 300 cases of HAA, but still only 20 per cent had been treated successfully. 4,7,26 This review also stated that atherosclerosis accounted for 32 per cent of HAA cases.…”