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Management of a large hepatic artery aneurysm

We present a rare case of a giant hepatic artery aneurysm in a 61-year-old man that was successfully treated by aneurysmectomy with prosthesis bypass grafting. Because the gastroduodenal artery was occluded, an adequate collateral circulation was not ensured after simple ligation, so a direct arteri...

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Detalles Bibliográficos
Autores principales: Angiletta, Domenico, Marinazzo, Davide, Pulli, Raffaele, Regina, Guido
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6849915/
https://www.ncbi.nlm.nih.gov/pubmed/31724616
http://dx.doi.org/10.1016/j.jvsc.2015.03.007
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author Angiletta, Domenico
Marinazzo, Davide
Pulli, Raffaele
Regina, Guido
author_facet Angiletta, Domenico
Marinazzo, Davide
Pulli, Raffaele
Regina, Guido
author_sort Angiletta, Domenico
collection PubMed
description We present a rare case of a giant hepatic artery aneurysm in a 61-year-old man that was successfully treated by aneurysmectomy with prosthesis bypass grafting. Because the gastroduodenal artery was occluded, an adequate collateral circulation was not ensured after simple ligation, so a direct arterial flow to the liver was restored to avoid the risk of significant liver or biliary tract ischemia. A computed tomography scan at 1 month showed occlusion of the bypass. The patient remained asymptomatic, despite the supposed lack of adequate collateral circulation. The unpredictable blood supply to the liver is discussed.
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spelling pubmed-68499152019-11-13 Management of a large hepatic artery aneurysm Angiletta, Domenico Marinazzo, Davide Pulli, Raffaele Regina, Guido J Vasc Surg Cases Article We present a rare case of a giant hepatic artery aneurysm in a 61-year-old man that was successfully treated by aneurysmectomy with prosthesis bypass grafting. Because the gastroduodenal artery was occluded, an adequate collateral circulation was not ensured after simple ligation, so a direct arterial flow to the liver was restored to avoid the risk of significant liver or biliary tract ischemia. A computed tomography scan at 1 month showed occlusion of the bypass. The patient remained asymptomatic, despite the supposed lack of adequate collateral circulation. The unpredictable blood supply to the liver is discussed. Elsevier 2015-04-21 /pmc/articles/PMC6849915/ /pubmed/31724616 http://dx.doi.org/10.1016/j.jvsc.2015.03.007 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Angiletta, Domenico
Marinazzo, Davide
Pulli, Raffaele
Regina, Guido
Management of a large hepatic artery aneurysm
title Management of a large hepatic artery aneurysm
title_full Management of a large hepatic artery aneurysm
title_fullStr Management of a large hepatic artery aneurysm
title_full_unstemmed Management of a large hepatic artery aneurysm
title_short Management of a large hepatic artery aneurysm
title_sort management of a large hepatic artery aneurysm
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6849915/
https://www.ncbi.nlm.nih.gov/pubmed/31724616
http://dx.doi.org/10.1016/j.jvsc.2015.03.007
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