Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2024)

Balloon-expandable covered stenting of a large right hepatic artery aneurysm

  • Baqir J. Kedwai, BHSc,
  • Matthew Byrne, MD,
  • Joshua T. Geiger, MD,
  • Sam Najjar, BS,
  • Michael C. Stoner, MD,
  • Doran S. Mix, MD

Journal volume & issue
Vol. 10, no. 6
p. 101601

Abstract

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Hepatic artery aneurysms (HAAs) are rare visceral aneurysms with a high rupture rate. We report the case of an 88-year-old man with a 4.2-cm right HAA treated with covered stenting. Balloon-expandable covered stents effectively excluded the HAA with excellent proximal and distal seals. Our case is one of a limited number of reports on successfully repairing a hepatic aneurysm with a balloon-expandable stent graft. This case demonstrates that balloon expandable covered stenting is a viable approach in patients with appropriate anatomy and may be favorable in patients precluded from open bypass.

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