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. 2015 Apr 21;1(2):105-109.
doi: 10.1016/j.jvsc.2015.03.008. eCollection 2015 Jun.

Ruptured aneurysm of replaced left hepatic artery

Gian Piero Guerrini  1 , Stefano Bolzon  1 , Alessio Vagliasindi  1 , Domenico Palmarini  2 , Felice Lo Faso  1 , Paolo Soliani  1
Affiliations

Ruptured aneurysm of replaced left hepatic artery

Gian Piero Guerrini et al. J Vasc Surg Cases. .

Abstract

Hepatic artery aneurysm is an uncommon and potentially fatal form of vascular disease. We report the case of a 53-year-old man with an isolated, nontraumatic rupture of an aneurysm of a replaced left hepatic artery originating from the left gastric artery. This case is unusual because the ruptured aneurysm involved an hepatic artery with a rare vascular pattern.

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Figures

Fig 1
Fig 1
Contrast-enhanced computed tomography (CT) in the arterial-late phase demonstrates an aneurysm of a replaced left hepatic artery.
Fig 2
Fig 2
Abdominal axial and three-dimensional reconstruction image contrast computed tomography (CT) scan shows a replaced left hepatic artery arising from the left gastric artery and a replaced right hepatic artery arising from the superior mesenteric artery (type VIII according to the Michels classification). The left ureteral stent is also visible.
Fig 3
Fig 3
Intraoperative view after placement of a clamp at the junction of left hepatic and left gastric arteries.
See this image and copyright information in PMC

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