TY - JOUR
AR - SCR-2020-12-112
TI - Endovascular Stenting of Large Hepatic Artery Aneurysm: Case Report
AU - Essam , Hashem
AU - Praveen , Peddu
JO - Surgical Case Reports
PY - 2020
DA - Wed 16, Dec 2020
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2020.12.12
UR - https://www.sciencerepository.org/endovascular-stenting-of-large-hepatic-artery-aneurysm_SCR-2020-12-112 
KW -  Hepatic artery, aneurysm, visceral aneurysm, stent, endovascular, coiling, embolization
AB - 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.