Montorsi M, Settembrini P, Ronchetti E, Fumagalli U, Bona S, Olivari N, Zago M, Pezzuoli G
Istituo Clinica Chirurgical I, ospedale Policlinico, Milano, Italie.
Ann Chir. 1991;45(5):414-7.
The authors report two cases of aneurysms of the hepatic artery, one of which, with a intrahepatic localisation, was complicated by rupture and infection. The etiology was atherosclerotic in the case involving the main trunk of the hepatic artery, and polyarteritis nodosa in the case with intrahepatic involvement. Both were resected; the extrahepatic aneurysm was excised and a venous graft inserted, whereas in the one with intrahepatic involvement, right lobectomy was performed. On the basis of these cases, the authors discuss the various etiologies and the problems related to the indications and surgical techniques for aneurysms of the main trunk of the hepatic artery and those of its intrahepatic branches.
作者报告了两例肝动脉瘤病例,其中一例为肝内定位,并发破裂和感染。肝动脉主干受累病例的病因是动脉粥样硬化,肝内受累病例的病因是结节性多动脉炎。两例均行手术切除;肝外动脉瘤切除并植入静脉移植物,而肝内受累的病例则行右叶切除术。基于这些病例,作者讨论了肝动脉主干及其肝内分支动脉瘤的各种病因以及与适应证和手术技术相关的问题。