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Case Reports
. 2012 Feb;14(2):220-2.
doi: 10.1093/icvts/ivr013. Epub 2011 Nov 28.

Ruptured aneurysm of replaced left hepatic artery as a cause of haemorrhagic shock: a challenge of diagnosis and treatment

Gulum Altaca  1
Affiliations
Case Reports

Ruptured aneurysm of replaced left hepatic artery as a cause of haemorrhagic shock: a challenge of diagnosis and treatment

Gulum Altaca. Interact Cardiovasc Thorac Surg. 2012 Feb.

Abstract

An isolated, spontaneous, ruptured aneurysm of the replaced left hepatic artery (LHA) arising from the left gastric artery, in a 72-year-old female, leading to haemorrhagic shock treated by surgical ligation is reported. To our best knowledge, this is the second case report of a ruptured hepatic artery aneurysm in this location. A thorough knowledge of hepatic arterial anatomy and variations, and prompt diagnosis and urgent surgical intervention are necessary in such a potentially lethal condition.

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Figures

Figure 1:
Figure 1:
Abdominal computed tomography (CT) angiogram (A) and 3D reconstruction CT angiogram (B) revealing intra-abdominal bleeding originating from the junction of the left hepatic artery and left gastric artery (arrows).
Figure 2:
Figure 2:
Intra-operative photograph of a ruptured aneurysm (5 × 1.5 cm) of the replaced LHA isolated by a vessel loop. Site of rupture, at the junction of the left hepatic and left gastric arteries (arrow).
See this image and copyright information in PMC

References

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