Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492012000300011
Jornal Vascular Brasileiro
Case Report

Hepatic artery aneurysm: incidental diagnosis with abdominal ultrasonography and treatment by coil embolization

Aneurisma de artéria hepática: diagnóstico incidental com ultrassonografia do abdome e tratamento por embolização com molas

Luis Jesuino de Oliveira Andrade; Antonio Carlos Botelho da Silva; Larissa Santos França; Luciana Santos França; José Rebouças de Souza

Downloads: 0
Views: 113

Abstract

Hepatic artery aneurysm (HAA) was first reported at autopsy in 1809, represents one fifth of visceral aneurysms and the mortality from spontaneous rupture is high in most of cases. We are reporting a case of an asymptomatic 48-year-old woman with an extrahepatic HAA, diagnosed initially and incidentally with abdominal ultrasonography, confirmed by a three-dimensional contrast-enhanced magnetic resonance imaging and angiography. Endovascular treatment was considered feasible and was successfully treated with coil embolization.

Keywords

hepatic artery, aneurysm, vascular diseases, embolization, therapeutic

Resumo

Aneurisma da artéria hepática (AAH) foi relatado pela primeira vez através de autópsia em 1809, representa um quinto dos aneurismas viscerais, e a mortalidade por ruptura espontânea é alta na maioria dos casos. Relatamos o caso de uma mulher de 48 anos de idade com um AAH extra-hepático assintomático, diagnosticado inicialmente, e incidentalmente, com ultrassonografia abdominal e confirmado através de angiorressonância tridimensional e angiografia contrastada. O tratamento endovascular foi considerado viável, sendo tratada com sucesso através de embolização com molas.

Palavras-chave

artéria hepática, aneurisma, doenças vasculares, embolização terapêutica

References

Guida PM, Moore SW. Aneurysm of the hepatic artery: Report of five cases with a brief review of previously reported cases. Surgery. 1966;60(2):299-310.

Tarazov PG, Ryzhkov VK, Polysalov VN, Prozorovskij KV, Polykarpov AA. Extraorganic hepatic artery aneurysm: failure of transcatheter embolization. HPB Surgery. 1998;11(1):55-60.

Horton KM, Smith C, Fishman EK. MDCT and 3D CT angiography of splanchnic artery aneurysms. AJR Am J Roentgenol. 2007;189(3):641-7.

Erskine JM. Hepatic artery aneurysm. Vasc Surg. 1973;7(2):106-25.

O'Driscoll D, Olliff SP, Olliff JF. Hepatic artery aneurysm. Br J Radiol. 1999;72(862):1018-25.

Dougherty MJ, Gloviczki P, Cherry KJ Jr, Bower TC, Hallet JW, Pairolero PC. Hepatic artery aneurysms: evaluation and current management. Int Angiol. 1993;12(2):178-84.

Pilleul F, Beuf O. Diagnosis of splanchnic artery aneurysms and pseudoaneurysms, with special reference to contrast enhanced 3D magnetic resonance angiography: a review. Acta Radiol. 2004;45(7):702-8.

Chandramohan C, Khan AN, Fitzgerald S, Sherlock D, Tam E. Sonographic diagnosis and follow-up of idiopathic hepatic artery aneurysm, an unusual cause of obstructive jaundice. J Clin Ultrasound. 2001;29(8):466-71.

White WH. Cases of jaundice due to aneurysm of the hepatic artery and to movable kidney. Br Med J. 1892;1(1622):223-4.

Pasha SF, Gloviczki P, Stanson AW, Kamath PS. Splanchnic artery aneurysms. Mayo Clin Proc. 2007;82(4):472-9.

Bachar GN, Belenky A, Lubovsky L, Neuman-Levine M. Sonographic diagnosis of a giant aneurysm of the common hepatic artery. J Clin Ultrasound. 2002;30(5):300-2.

Shanley CJ, Shah NL, Messina LM. Common splanchnic artery aneurysms: splenic, hepatic, and celiac. Ann Vasc Surg. 1996;10(3):315-22.

Liu Q, Lu JP, Wang F, Wang L, Tian JM. 3D Contrast-enhanced MR angiography of aortic dissection: a pictorial essay. Radiographics. 2007;27(5):1311-21.

Lumsden AB, Mattar SG, Allen RC, Bacha EA. Hepatic artery aneurysms: the management of 22 patients. J Surg Res. 1996;60(2):345-50.

Bengmark S, Rosengren K. Angiographic study of the collateral circulation to the liver after ligation of the hepatic artery in man. Am J Surg. 1970;119(6):620-4.

Ikeda O, Nakasone Y, Tamura Y, Yamashita Y. Endovascular management of visceral artery pseudoaneurysms: transcatheter coil embolization using the isolation technique. Cardiovasc Intervent Radiol. 2010;33(6):1128-34.

5ddd2f440e8825e86a1da3ea jvb Articles
Links & Downloads

J Vasc Bras

Share this page
Page Sections