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Hepatic artery aneurysm in a patient with hepatitis C liver cirrhosis: report of a case

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Abstract

Visceral artery aneurysms are rare, with an incidence rate of only 0.01–0.2 % in routine autopsies, and hepatic artery aneurysms account for approximately 20 % of these aneurysms. Despite recent advances in therapeutic techniques and diagnostic tools, the management of visceral artery aneurysms remains clinically challenging. We report a case of hepatic artery aneurysm with liver cirrhosis due to hepatitis C in an 81-year-old woman. A computed tomography scan demonstrated a hepatic artery aneurysm 4.4 cm in diameter. She underwent successful aneurysmectomy with vascular anastomosis. A computed tomography scan on postoperative day 7 demonstrated patent hepatic artery. The patient was followed-up for 1 year after surgery and died owing to progressive liver failure. However, she did not show any hepatic artery problem such as hepatic arterial thrombosis or occlusion. We discuss the risk factors of atherosclerosis in patients with liver cirrhosis, and present an overview of the treatment of hepatic artery aneurysms.

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Abbreviations

CT:

Computed tomography

HBs:

Hepatitis B surface

HCV:

Hepatitis C virus

CHA:

Common hepatic artery

GDA:

Gastroduodenal artery

PHA:

Proper hepatic artery

RHA:

Right hepatic artery

LHA:

Left hepatic artery

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Surgery, The University of Tokushima, Tokushima, 770-8501, Japan

    Yu Saito

  2. Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, 812-8582, Japan

    Tomoharu Yoshizumi & Noboru Harada

  3. Department of Surgery, Saiseikai Fukuoka General Hospital, Fukuoka, 810-0001, Japan

    Yu Saito, Tomoharu Yoshizumi, Noboru Harada, Hiroto Kayashima, Koji Yamasaki, Noriaki Sadanaga, Hiroshi Matsuura & Kenichiro Okadome

Authors
  1. Yu Saito
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  2. Tomoharu Yoshizumi
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  3. Noboru Harada
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  4. Hiroto Kayashima
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  5. Koji Yamasaki
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  6. Noriaki Sadanaga
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  7. Hiroshi Matsuura
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  8. Kenichiro Okadome
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Correspondence to Tomoharu Yoshizumi.

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Saito, Y., Yoshizumi, T., Harada, N. et al. Hepatic artery aneurysm in a patient with hepatitis C liver cirrhosis: report of a case. Clin J Gastroenterol 6, 169–172 (2013). https://doi.org/10.1007/s12328-013-0372-3

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  • DOI: https://doi.org/10.1007/s12328-013-0372-3

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