Angiographic diagnosis of aneurysms involving the hepatic artery

Sutton, David; Lawton, G.

doi:10.1016/s0009-9260(73)80112-6

Cited by 13 publications

(1 citation statement)

References 6 publications

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“…10 The most ad vi sed op ti on of the tre at ment is per cu ta ne o us trans cathe ter em bo li za ti on (PTE). 12,13 PTE is mostly prefer red for in tra he pa tic or pse u do a neu rysms. 10,14 Anot her op ti on is the li ga ti on.…”

Section: Discussionmentioning

confidence: 99%

Surgical Repair of a Hepatic Artery Aneurysm: A Rare Case Report

Akkaya¹,

Erdem²,

Bugra³

et al. 2013

Damar Cer Derg

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planchnic artery aneurysms (SAA) are seen rarely, but this entity is clinically important. 1 Hepatic artery aneurysm (HAA) may be seen as the true aneurysms or pseudoaneurysms. True HAA is the fourth most common site of splanchnic artery aneursym, following infrarenal aorta, iliac artery and splenic artery. 2 HAA accounts for approximately 20% of SAA, 80% of which are extrahepatic and solitary. 3,4 The rest are intrahepatic. 1-5 It is known that 63% of HAAs involve the common hepatic artery. False aneurysms mostly occur in the right hepatic artery. 6 Previously, HAAs were known to be frequently caused by mycotic infections and inflammation. 7,8 However currently, atherosclerosis is accepted as the most common cause

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Section: Discussionmentioning

confidence: 99%

Surgical Repair of a Hepatic Artery Aneurysm: A Rare Case Report

Akkaya¹,

Erdem²,

Bugra³

et al. 2013

Damar Cer Derg

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Hepatic artery aneurysm

et al. 1983

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One hundred and nineteen cases, including the one reported here, of hepatic artery aneurysm were reviewed. The clinical features and surgical management in four etiologic groups, consisting of arteriosclerosis, cholecystolithiasis, trauma and, specific diseases, were investigated. Interruption of the hepatic artery, entailing ligation of the hepatic artery, excision of the aneurysm without vascular reconstruction, and obliterative aneurysmorrhaphy, was done in 50 patients. Its high mortality rate (26%) was principally ascribed to delayed diagnosis or inappropriate site of interruption. If conditions such as shock, anoxia and portal thrombosis are avoided, interruption of the hepatic artery seems to be a safe and useful operative method for hepatic artery aneurysms, especially accompanied by severe local infection.

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