Successful treatment of an iatrogenic right hepatic artery pseudoaneurysm and stenosis with a stent graft

Journal of Vascular Surgery
Jared R Hylton, William C Pevec

Abstract

A 53-year-old woman presented with an iatrogenic right hepatic artery pseudoaneurysm after a laparoscopic cholecystectomy. Approximately 1 year after the cholecystectomy, liver transaminases were elevated, and she complained of recurrent "crampy" right upper quadrant pain that radiated posteriorly to her back. Imaging studies demonstrated an aneurysm or pseudoaneurysm of the hepatic artery at the porta hepatis, with possible infiltration into the parenchyma between the right and left lobes of the liver. Selective celiac arteriography showed a 90% stenosis of the right hepatic artery with a large pseudoaneurysm arising from the stenotic segment. This was treated with a 3- x 16-mm stent graft (Jostent; Abbott Vascular, Temecula, Calif) with good result. The completion arteriogram showed wide patency of the stent graft with total exclusion of the pseudoaneurysm. Follow-up serial duplex scans up to 40 months after the procedure showed no evidence of residual pseudoaneurysm and wide patency of the stent graft, with no evidence of focal velocity changes in the right hepatic artery. The patient continues to do well clinically.

References

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Citations

Mar 5, 2011·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Nisar A WaniTasleem L Kosar
Jul 7, 2012·Clinics and Research in Hepatology and Gastroenterology·Ning-Ning LuRen-You Zhai
Nov 25, 2017·Vascular·Ludomir StefańczykJerzy Garcarek
Nov 29, 2017·Case Reports in Vascular Medicine·Ahmed AbdelbakiYogesh Kumar
Nov 22, 2020·International Journal of Surgery Case Reports·Amber C TraaArjen L Diederik
May 29, 2021·Journal of Minimal Access Surgery·Charalampos LampropoulosIoannis Kehagias

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