Endovascular Stenting of Large Hepatic Artery Aneurysm: Case Report

Author Info

Essam Hashem Praveen Peddu

Corresponding Author

Praveen Peddu
Consultant Radiologist and Honorary Senior Lecturer, King's College Hospital, London, United Kingdom

A B S T R A C T

Background: Large hepatic artery aneurysms are rare, especially spontaneous ones without history of hepatopancreatobiliary surgery or trauma. They are serious and need attention due to risk of spontaneous rupture. Management depends on local expertise with endovascular management being the preferred option, and surgical repair usually reserved to ruptured aneurysms in hemodynamically unstable patients. Methods: A 54-year-old female patient was referred to our hospital for treatment of incidentally discovered large hepatic artery aneurysm without obvious etiology. The decision was made to attempt percutaneous endovascular management at the interventional radiology unit. Result: The aneurysm sac was successfully excluded using covered stents. This was complicated by right hepatic artery occlusion and clinically insignificant contrast extravasation. These complications did not have any clinical sequel in terms of hemodynamic stability or impaired liver function. The patient was safely discharged few days after the procedure. Conclusion: Endovascular management of spontaneous large hepatic artery aneurysms is effective. Potential complications include hepatic artery occlusion and dissection, which may or may not have serious clinical consequences. This offers a less invasive treatment option compared to surgery.

Article Info

Article Type

Case Report

Publication history

Received: Mon 16, Nov 2020
Accepted: Tue 01, Dec 2020
Published: Wed 16, Dec 2020

Copyright

© 2023 Praveen Peddu. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2020.12.12