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Successful Covering of a Hepatic Artery Aneurysm with a Coronary Stent Graft

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Abstract

In a 54-year-old woman with liver cirrhosis who underwent orthotopic liver transplantation, the postoperative course was complicated by aneurysm formation in the hepatic artery. Abdominal ultrasonography showed a daily increase in the size of the aneurysm in spite of careful management including strict rest and continuous intravenous infusion of antihypertensive agents. Since the patient’s poor systemic status was a major obstruction to operative resection, transcatheter therapy was thought more preferable. We evaluated the lesion with intravascular ultrasonography as an adjunct to angiography and a dissection with a flap was well visualized. The aneurysm was covered with a commercially available stent-graft, designed for treatment of the coronary artery. This is a rare case in which a Jostent was implanted into the hepatic artery after liver transplantation.

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Authors and Affiliations

  1. Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine, Kita 15, Nishi 7, Kita-ku, Sapporo, Hokkaido, 060-8638, Japan

    Hidetsugu Sakai, Kazushi Urasawa, Naotsugu Oyama & Akira Kitabatake

Authors
  1. Hidetsugu Sakai
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  2. Kazushi Urasawa
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  3. Naotsugu Oyama
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  4. Akira Kitabatake
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Sakai, H., Urasawa, K., Oyama, N. et al. Successful Covering of a Hepatic Artery Aneurysm with a Coronary Stent Graft. CVIR 27, 274–277 (2004). https://doi.org/10.1007/s00270-003-4030-x

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