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Case Reports
. 2018 Nov 8;14(2):195-199.
doi: 10.1016/j.radcr.2018.10.029. eCollection 2019 Feb.

A case of giant common hepatic artery aneurysm successfully treated by transcatheter arterial embolization with isolation technique via pancreaticoduodenal arcade

Koichi Masuda  1 , Shinsuke Takenaga  1 , Kazuhiko Morikawa  1 , Hirokazu Ashida  2 , Hiroya Ojiri  2
Affiliations
Case Reports

A case of giant common hepatic artery aneurysm successfully treated by transcatheter arterial embolization with isolation technique via pancreaticoduodenal arcade

Koichi Masuda et al. Radiol Case Rep. .

Abstract

Hepatic artery aneurysms are rare and sometimes life-threating. Various treatments for hepatic artery aneurysms, including surgical and endovascular techniques are present. Here, we report the case of a 68-year-old woman who presented with an about 9 cm of common hepatic artery aneurysm detected during a routine medical checkup; she did not exhibit any symptoms. We successfully treated the aneurysm with transcatheter arterial embolization with isolation technique via pancreatic duodenal arcade.

Keywords: Common hepatic artery aneurysm; Isolation technique via pancreaticoduodenal arcade; Transcatheter arterial embolization.

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Figures

Fig. 1
Fig. 1
A contrast-enhanced computed tomography showing a giant common hepatic artery aneurysm.
Fig. 2
Fig. 2
Volume rendering showing the aneurysm and the distal side of the common hepatic artery and no branch from the aneurysm.
Fig. 3
Fig. 3
Digital subtraction angiography from the aneurysm revealing the distal side of the common hepatic artery (arrow).
Fig. 4
Fig. 4
Digital subtraction angiography from the superior mesenteric artery showing the distal side of the common hepatic artery via very fine pancreaticoduodenal arcade (arrow head) with the common hepatic artery balloon occluded (arrow).
Fig. 5
Fig. 5
Using 4 platinum coils to embolize the distal side of the aneurysm (arrow) and a 6 mm Amplazer Vascular Plug Ⅳ to embolize the proximal side of the aneurysm (arrowhead) resulted in complete embolization of the giant hepatic aneurysm with isolation technique.
Fig. 6
Fig. 6
Follow-up noncontrast computed tomography (A) and contrast-enhanced computed tomography (B) after 8 months revealed complete occlusion and downsizing of the common hepatic aneurysm (arrow).
See this image and copyright information in PMC

References

    1. Kantarci M., Karakaya A., Aydinli B., Yalcin Polat K., Ceviz M. Giant hepatic artery aneurysm causing portal hypertension. Dig Liver Dis. 2009;41(12):913. - PubMed
    1. Hashim A., Allaqaband S., Bajwa T. Leaking hepatic artery aneurysm successfully treated with covered stent. Catheter Cardiovasc Interv. 2009;74(3):500–505. - PubMed
    1. Kim J.H., Rha S.E., Chun H.J., Kim Y.S., Oh S.N., Lee Y.J. Giant aneurysm of the common hepatic artery: US and CT imaging findings. Abdom Imaging. 2010;35(2):212–214. - PubMed
    1. Sessa C., Tinelli G., Porcu P., Aubert A., Thony F., Magne J.L. Treatment of visceral artery aneurysms: description of a retrospective series of 42 aneurysms in 34 patients. Ann Vasc Surg. 2004;18(6):695–703. - PubMed
    1. Cavalcante R.N., Couto V.A., da Fonseca A.V., de Miranda R.B., Costa A.J., Correa J.A. Endovascular treatment of a giant hepatic artery aneurysm with Amplatzer vascular plug. J Vasc Surg. 2014;60(2):500–502. - PubMed

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