Asian Journal of Surgery (Oct 2006)

Use of a Stent Graft for Bleeding Hepatic Artery Pseudoaneurysm Following Pancreaticoduodenectomy

  • Leoncio L. Kaw, Jr,
  • Moshin Saeed,
  • Matt Brunson,
  • Giacomo A. Delaria,
  • Ralph B. Dilley

DOI
https://doi.org/10.1016/S1015-9584(09)60103-2
Journal volume & issue
Vol. 29, no. 4
pp. 283 – 286

Abstract

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Although uncommon, bleeding following pancreaticoduodenectomy is associated with high mortality. Management generally includes surgical reexploration or, alternatively, transarterial embolization. We report the case of a 62-year-old man who presented with massive upper gastrointestinal bleeding 3 weeks after pancreaticoduodenectomy. Selective coeliac angiography revealed a large pseudoaneurysm involving the proper hepatic artery. This was treated successfully with a stent graft. There was no recurrence of bleeding at the 6-month follow-up. To our knowledge, this is the first report of stent graft repair of bleeding hepatic artery pseudoaneurysm following pancreaticoduodenectomy.

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