Endovascular management of a large hepatic artery aneurysm related to type B aortic dissection
| Autor: | Barnabas R Green, Demetris Tsiakkis, Paul Walker, John Reicher |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Visceral artery business.industry Type B aortic dissection Case Report General Medicine 030218 nuclear medicine & medical imaging Surgery 03 medical and health sciences 0302 clinical medicine Hepatic artery aneurysm 030220 oncology & carcinogenesis cardiovascular system Medicine cardiovascular diseases Limited evidence business |
| Zdroj: | BJR | case reports |
| ISSN: | 2055-7159 |
| Popis: | Management of visceral artery aneurysms can be challenging: there is limited evidence to determine size thresholds for intervention and it is often technically difficult to exclude the aneurysms while preserving visceral perfusion. We present the case of a 68-year-old male with a rapidly enlarging hepatic artery aneurysm related to type B aortic dissection extending into the coeliac axis, which presented unique difficulties due to its morphology and filling via the false lumen. Endovascular treatment involved stent–graft placement from the coeliac axis into the splenic artery with the intention of excluding the coeliac supply to the common hepatic artery. Despite early stent–graft occlusion, the aneurysm was successfully excluded and adequate hepatic and splenic perfusion was maintained. The patient made a good recovery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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