Frontiers in Surgery (Mar 2022)

Open Repair of Large Hepatic Artery Pseudoaneurysm Without Collateral Circulation: A Case Report

  • Xin Wen,
  • Xiyang Chen,
  • Jichun Zhao,
  • Xin Luo,
  • Qiang Guo,
  • Xiaojiong Du,
  • Ding Yuan,
  • Bin Huang

DOI
https://doi.org/10.3389/fsurg.2022.791553
Journal volume & issue
Vol. 9

Abstract

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Hepatic artery pseudoaneurysm is a rare arterial disease. This case report describes a patient with hepatic artery pseudoaneurysm who presented with recurrent epigastric pain over a 4-month period. Computed tomography angiography (CTA) showed aneurysmal enlargement of the hepatic artery measuring 55 mm × 46 mm. The angiographic information is as follows: (1) the common hepatic artery originated from the superior mesenteric artery; (2) the proper hepatic artery originated from the common hepatic artery; (3) the proper hepatic aneurysmal disease had no collateral circulation. After careful consideration, the patient underwent an open surgical repair (OSR). The patient recovered well without any associated complications. The 1-year follow-up of patients did not reveal any relevant complications. The treatment choice, puzzles, and reflections of this case are all discussed in this article.

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