Giant Hepatic Artery Aneurysm

Abstract

Hepatic artery aneurysms (HAAs) are extremely rare entities. Given the high mortality rates with rupture, they should be treated early with either open or endovascular repair. We present a case of a 60-year-old man with HAA treated successfully by open surgical repair.

Open surgical repair of a giant common hepatic artery pseudoaneurysm that perforated into the duodenum and common bile duct

“… 1 , 2 , 3 True HAAs exceeding 10 cm have been reported 11 times. 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 However, this is the first case documenting a giant, chronic pseudoaneurysm exceeding 10 cm in the CHA. Although most CHA pseudoaneurysms stem from traumatic or iatrogenic origins, no previous history of endovascular or open surgery, trauma, or infection was noted in this case.…”

Open surgical repair of giant hepatic artery aneurysm

“…Giant HAAs (>10 cm in diameter) are exceptionally rare with only a few documented cases in the literature. 6 , 7 , 9 , 10 , 11 , 12 , 13 , 14 , 8 , 15 , 16 Outcomes of giant HAAs in literature are reported in Table I . The management of giant HAAs remains an operative challenge owing to the significant risk of rupture and distortion of natural anatomy.…”