Document Detail


Hepatic artery aneurysms: evolution from open to endovascular repair techniques.
MedLine Citation:
PMID:  21679596     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
With the development of endovascular therapy, treatment for hepatic artery aneurysm (HAA) has evolved from open excision and repair to include endovascular approaches. We reviewed our recent experience with HAA to help define the treatment of HAA. From 2002 to 2010, five patients underwent treatment of HAA, all men with a median age of 63.2 years (range, 41-75). The median diameter of HAA was 5.8 cm (range, 2.4 cm-11 cm). Four lesions involved the extrahepatic portion of the hepatic artery, and one was an intrahepatic HAA that involved the right hepatic artery. Three were true aneurysms and two were pseudoaneurysms associated with trauma. Four of the five HAA patients were symptomatic, three with nonspecific abdominal pain, and one with free hemorrhage from a ruptured intrahepatic pseudoaneurysm. All five underwent computed tomography and selective arteriography. Two patients underwent open surgical aneurysmectomy and revascularization because of aneurysm location and concerns of the potential lack of collateral flow. Three patients underwent an endovascular coil embolization because obliteration of a saccular aneurysm could be achieved without compromising arterial flow of the native hepatic vessel. Re-embolization was necessary in the intrahepatic aneurysm because of recanalization of a feeding vessel. Endovascular embolization is an important minimally invasive approach in the treatment of HAA. Depending on HAA location and the adequacy of collateral arterial flow around the lesion, open aneurysmectomy and revascularization may be required.
Authors:
Amy B Christie; D Benjamin Christie; Don K Nakayama; Maurice M Solis
Related Documents :
17532936 - Idiopathic postpneumonectomy pulmonary edema: hyperinflation of the remaining lung is a...
7104976 - Immunoblastic lymphoma arising in chronic lymphoid hyperplasia of the pulmonary interst...
22048976 - Endovascular treatment of isolated internal iliac artery aneurysms.
21789716 - Evaluation of prosthetic venous valves, fabricated by electrospinning, for percutaneous...
19448236 - Ultrasound and neurostimulation-guided axillary brachial plexus block for resection of ...
2019536 - Bronchoalveolar lavage and tracheal wash to determine lung involvement in a cat with cr...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  77     ISSN:  1555-9823     ISO Abbreviation:  Am Surg     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-06-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  608-11     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Lymph nodes ratio is associated with the survival of colorectal cancer patients with peritoneal carc...
Next Document:  Operative intervention for complete pancreatic transection in children sustaining blunt abdominal tr...