Skip to main content
Log in

Multiple Hepatic Artery Aneurysms: Use of Transcatheter Embolization for Rupture

  • Case Reports
  • Published:
Annals of Vascular Surgery

Abstract

Aneurysmal disease of the hepatic artery is a rare and potentially life-threatening entity. Aneurysms occur anywhere along the hepatic artery and its branches, but they have a predilection for occurring as a solitary lesion of the common or right hepatic artery. Diffuse intrahepatic hepatic artery aneurysm is the rarest form and is especially challenging. Treatment of these lesions has been described in only a few case reports. We present a patient with ruptured intrahepatic hepatic artery aneurysms treated by percutaneous transcatheter embolization.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1.
Fig. 2.
Fig. 3.
Fig. 4.

References

  1. Messina LM, Shanley CJ. Visceral artery aneurysms. Surg Clin North Am 1997;77:425–442

    Article  PubMed  CAS  Google Scholar 

  2. Stanley JC, Thompson NW, Fry WJ. Splanchnic artery aneurysms. Arch Surg 1970;101:689–697

    PubMed  CAS  Google Scholar 

  3. Iseki J, Tada Y, Wada T, et al. Hepatic artery aneurysm. Report of a case and review of the literature. Gastroenterol Jpn 1983;18:84–92

    PubMed  CAS  Google Scholar 

  4. Tessier DJ, Fowl RJ, Stone WM, et al. Iatrogenic hepatic artery pseudoaneurysms: an uncommon complication after hepatic, biliary, and pancreatic procedures. Ann Vasc Surg 2003;17:663–669

    Article  PubMed  Google Scholar 

  5. Abbas MA, Fowl RJ, Stone WM, et al. Hepatic artery aneurysm: factors that predict complications. J Vasc Surg 2003;38:41–45

    Article  PubMed  Google Scholar 

  6. Zelenock GB, Stanley JC. Splanchnic artery aneurysms. In: Rutherford RB, ed. Vascular Surgery. Phildelphia: W B Saunders, 2000, pp 1369–1382

    Google Scholar 

  7. Shanley CJ, Shah NL, Messina LM. Common splenic artery aneurysms: splenic, hepatic, and celiac. Ann Vasc Surg 1996;10:315–322

    Article  PubMed  CAS  Google Scholar 

  8. Stanley JC, Messina LM, Zelenock GB. Splanchnic and renal artery aneurysms. In: Moore WS, ed. Vascular Surgery: A Comprehensive Review. Philadelphia: W B Saunders 2002, pp 493–507

    Google Scholar 

  9. Michels NA. Collateral arterial pathways to the liver after ligation of the hepatic artery and removal of the celiac axis. Cancer 1953;6:708–724

    Article  PubMed  CAS  Google Scholar 

  10. Koehler RE, Korobkin M, Lewis F. Arteriographic demonstration of collateral arterial supply to the liver after hepatic artery ligation. Radiology 1975;117:49–54

    PubMed  CAS  Google Scholar 

  11. Doppman JL, Girton M, Kahn ER. Proximal versus peripheral hepatic artery embolization: experimental study in monkeys. Radiology 1978;128:577–588

    PubMed  CAS  Google Scholar 

  12. Lucas CE, Ledgerwood AM. Liver necrosis following hepatic artery transection due to trauma. Arch Surg 1978;113:1107

    PubMed  CAS  Google Scholar 

  13. Goldblatt M, Goldin AR, Shaff MI. Percutaneous embolization for the management of hepatic artery aneurysms. Gastroenterology 1977;73:1142–1146

    PubMed  CAS  Google Scholar 

  14. Busuttil RW, Brin BJ. The diagnosis and management of visceral artery aneurysms. Surgery 1980;88:619–624

    PubMed  CAS  Google Scholar 

  15. Jonsson K, Bjernstad A, Eriksson B. Treatment of a hepatic artery aneurysm by coil occlusion of the hepatic artery. AJR Am J Roentgenol 1980;134:1245–1247

    PubMed  CAS  Google Scholar 

  16. Kadir S, Athanasoulis CA, Ring EJ, et al. Transcatheter embolization of intrahepatic arterial aneurysms. Radiology 1980;134:335–339

    PubMed  CAS  Google Scholar 

  17. Baker KS, Tisnado J, Cho S-R, et al. Splanchnic artery aneurysms and pseudoaneurysms: transcatheter embolization. Radiology 1987;163:135–139

    PubMed  CAS  Google Scholar 

  18. Lal RB, Strohl JA, Piazza S, et al. Hepatic artery aneurysm. J Cardiovasc Surg (Torino) 1989;30:509–513

    CAS  Google Scholar 

  19. Okazaki M, Higashihara H, Ono H, et al. Percutaneous embolization of ruptured splanchnic artery pseudoaneurysms. Acta Radiol 1991;32:349–354

    Article  PubMed  CAS  Google Scholar 

  20. Reid C, Cameron D, Simon TA, et al. Selective embolization of intrahepatic aneurysms. Aust NZJ Surg 1992;62:582–584

    Article  CAS  Google Scholar 

  21. Lumsden AB, Mattar SG, Allen RC, et al. Hepatic artery aneurysms: the management of 22 patients. J Surg Res 1996;60:345–350

    Article  PubMed  CAS  Google Scholar 

  22. Thibodeaux LC, Deshmukh RM, Hearn AT, et al. Management options for hepatic artery aneurysms. Ann Vasc Surg 1995;9:285–288.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Thomas C. Bower MD.

About this article

Cite this article

Riesenman, P.J., Bower, T.C., Oderich, G.S. et al. Multiple Hepatic Artery Aneurysms: Use of Transcatheter Embolization for Rupture. Ann Vasc Surg 20, 399–404 (2006). https://doi.org/10.1007/s10016-006-9025-z

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10016-006-9025-z

Keywords

Navigation