Hepatic artery aneurysm

Abstract

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.

Hemobilia from Ruptured Hepatic Artery Aneurysm in Polyarteritis Nodosa

“…Non traumatic vascular causes include congenital and developmental disorders, atherosclerosis and inflammation. Vascular lesions, usually hepatic artery aneurysms secondary to atherosclerosis, trauma, gallstone diseases, or systemic infections, account for about 10% of identified lesions8, 9). Aneurysms are usually isolated, although multiple aneurysms may be seen in patients with vasculitis9).…”