Endovascular treatment of an asymptomatic hepatic artery aneurism: case report.

Autor: O'Connell JL; Universidade Federal de Uberlândia - UFU, Faculdade de Medicina - FAMED, Uberlândia, MG, Brasil., Faria LAO; Universidade Federal de Uberlândia - UFU, Faculdade de Medicina - FAMED, Uberlândia, MG, Brasil., de Souza MG; Universidade Federal de Uberlândia - UFU, Faculdade de Medicina - FAMED, Uberlândia, MG, Brasil., Meneses GA; Universidade Federal de Uberlândia - UFU, Faculdade de Medicina - FAMED, Uberlândia, MG, Brasil., Carrijo AMM; Universidade Federal de Uberlândia - UFU, Faculdade de Medicina - FAMED, Uberlândia, MG, Brasil.
Jazyk: angličtina
Zdroj: Jornal vascular brasileiro [J Vasc Bras] 2021 Aug 13; Vol. 20, pp. e20200123. Date of Electronic Publication: 2021 Aug 13 (Print Publication: 2021).
DOI: 10.1590/1677-5449.200123
Abstrakt: We report a case of an asymptomatic, 77-year-old, male patient with arterial hypertension and no other comorbidities or risk factors for coronary disease. During a routine abdominal ultrasound examination, he was diagnosed with a hepatic vascular mass with an approximate diameter of 5 cm. Abdominal computed angiotomography was requested, showing an aneurysm of the hepatic artery, with maximum diameter of up to 5.2 cm, longest longitudinal axis of 7.2 cm, and a maximum true lumen caliber of 3.0 cm. We opted for endovascular aneurysm repair with implantation of three sequential Lifestream covered vascular stents (7x58mm, 8x58mm, and 8x37mm), successfully diverting the flow through the stents and excluding the aneurysm. The patient remains asymptomatic and free from clinical complications 2 years after the procedure. Control examinations with arterial duplex ultrasound 6 and 12 months after the procedure showed good flow through the stents with no leakage into the aneurysmal sac.
Competing Interests: Conflicts of interest: No conflicts of interest declared concerning the publication of this article.
(Copyright© 2021 The Authors.)
Databáze: MEDLINE
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