The Turkish Journal of Vascular Surgery

Yazarlar: Kemalettin ERDEM, Onursal BUĞRA, Emine DAĞISTAN, Orhan BOZOĞLAN, Ümit YAŞAR TEKELİOĞLU, Akçan AKKAYA, Bahadır DAĞLAR

Konular:-

Anahtar Kelimeler:Aneurysm; splanchnic circulation; hepatic artery aneurysms

Özet: Hepatic artery aneurysms (HAAs) account for approximately 20% of splanchnic artery aneurysms (SAAs). Most of the SAAs are generally asymptomatic and detected incidentally. Rupture of HAA is the first clinical manifestation in 80% of the cases. A 54-year-old female patient whose HAA was incidentally detected with abdominal ultrasonography two years ago, was referred to our clinic. Celiac artery angiography demonstrated a HAA in 4x6 cm diameters arising from the common hepatic artery. Abdominal wall opened through a median incision. After 5000 IU of systemic heparinization, proximal hepatic, distal hepatic and gastroduodenal arteries were clamped. Aneurysm was removed and saphenous vein interposition was performed by end-to-end anastomosis. Gastroduodenal artery end-to-side anastomosis was performed through the interposition of a 2 cm saphenous vein. The patient was discharged uneventfully on the postoperative eighth day.

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