Stent treatment for huge aneurysm of the common hepatic artery: A case report

Manat Zhakubayev, MD; Yasuhiro Maruya, MD, PhD; Mitsuhisa Takatsuki, MD, PhD; Zhassulan Baimakhanov, MD, PhD; Akihiko Soyama, MD, PhD; Masaaki Hidaka, MD, PhD; Tomohiko Adachi, MD, PhD; Ichiro Sakomoto, MD, PhD; Susumu Eguchi, MD, PhD

Radiology Case Reports (Jan 2019)

Stent treatment for huge aneurysm of the common hepatic artery: A case report

Manat Zhakubayev, MD,
Yasuhiro Maruya, MD, PhD,
Mitsuhisa Takatsuki, MD, PhD,
Zhassulan Baimakhanov, MD, PhD,
Akihiko Soyama, MD, PhD,
Masaaki Hidaka, MD, PhD,
Tomohiko Adachi, MD, PhD,
Ichiro Sakomoto, MD, PhD,
Susumu Eguchi, MD, PhD

Affiliations

Manat Zhakubayev, MD: Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan; Department of Surgery, A.N. Syzganov's National Scientific Center of Surgery, Almaty, Kazakhstan
Yasuhiro Maruya, MD, PhD: Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan
Mitsuhisa Takatsuki, MD, PhD: Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan
Zhassulan Baimakhanov, MD, PhD: Department of Surgery, A.N. Syzganov's National Scientific Center of Surgery, Almaty, Kazakhstan
Akihiko Soyama, MD, PhD: Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan
Masaaki Hidaka, MD, PhD: Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan
Tomohiko Adachi, MD, PhD: Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan
Ichiro Sakomoto, MD, PhD: Department of Radiology, Nagasaki University Hospital, Nagasaki, Japan
Susumu Eguchi, MD, PhD: Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan; Corresponding author.

Journal volume & issue: Vol. 14, no. 1
pp. 44 – 47

Abstract

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Objective/Background: Huge aneurysm of the visceral artery is rare and a treatment strategy for such cases has not yet been established. Here, we report a case of huge aneurysm of the common hepatic artery (44-mm diameter) successfully treated by stent placement.Methods: A 77-year-old female patient was referred to our department due to growth of the common hepatic artery aneurysm. The cause of the aneurysm was suspected to be segmental arterial mediolysis. Due to the possibility of a spontaneous rupture, we decided to stent the common hepatic artery.Result: We had some difficulties during the procedure, such as thrombosis of the stent, and it was necessary to insert an additional stent. The procedure was effective and the patient has been doing well without any complications at the 6-year follow-up.Conclusion: Stenting is possible and effective in cases of huge aneurysm of the common hepatic artery. Keywords: Segmental arterial mediolysis, Stenting, Aneurysm

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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