Endovascular Management of Pseudo-Aneurysm of Hepatic Artery Arising from Superior Mesenteric Artery

Rajeev Bhardwaj¹, Rajesh Nandal¹, Ranjana Gupta², Tania Pruthi¹, Saurav Mittal¹

Corresponding Author: Rajeev Bhardwaj

¹Department of Cardiology, MM Institute of Medical Sciences and Research, Ambala, India

²Radiology, MM Institute of Medical Sciences and Research, Ambala, India

International Journal of Clinical and Experimental Medical Sciences, Volume 9, Issue 5, September 2023

Pages: 75-78

Received: Sep. 07, 2023

Accepted: Oct. 12, 2023

Published: Oct. 28, 2023

DOI: 10.11648/j.ijcems.20230905.11

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Abstract

Background: Visceral artery aneurysms occur in 0.01–0.2% of the population. Splenic artery is the most common affected followed by hepatic artery. However, pseudoaneurysm is more common in the hepatic artery. The symptoms are vague and most of the times, it is incidentally diagnosed on ultrasound or CT scan of abdomen. Ruptured pseudoaneurysm has high mortality. Hence, timely intervention is of paramount significance. Case information: We present a 48-year-old male who presented with pain epigastrium and jaundice and had been diagnosed with chronic pancreatitis. CT abdomen showed well defined round partially thrombosed right hepatic artery pseudo-aneurysm in relation to head of pancreas. The aberrant right hepatic artery was arising from super mesenteric artery. This hepatic artery pseudoaneurysm was managed successfully by implant of covered stent. Discussion: The treatment of visceral artery aneurysms involves either early surgery or endovascular treatment. Open surgical repair has very high mortality and morbidity. Open surgical repair is preferred in patients who are hemodynamically unstable and require emergency surgery. Conclusion: Hepatic artery pseudoaneurysm can be successfully managed by endovascular interventional techniques. Excluding pseudoaneurysm from parent artery by covered stent is a feasible option with high success rate and patency of feeding artery.

Keywords

Pseudo Aneurysm, Replaced Hepatic Artery, Endovascular, Embolization

To cite this article

Rajeev Bhardwaj, Rajesh Nandal, Ranjana Gupta, Tania Pruthi, Saurav Mittal. (2023). Endovascular Management of Pseudo-Aneurysm of Hepatic Artery Arising from Superior Mesenteric Artery . International Journal of Clinical and Experimental Medical Sciences, 9(5), 75-78. https://doi.org/10.11648/j.ijcems.20230905.11

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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