Altaca Gulum
Department of General Surgery and Transplantation, Baskent University, Faculty of Medicine, Istanbul Hospital, Istanbul, Turkey.
Interact Cardiovasc Thorac Surg. 2012 Feb;14(2):220-2. doi: 10.1093/icvts/ivr013. Epub 2011 Nov 28.
An isolated, spontaneous, ruptured aneurysm of the replaced left hepatic artery (LHA) arising from the left gastric artery, in a 72-year-old female, leading to haemorrhagic shock treated by surgical ligation is reported. To our best knowledge, this is the second case report of a ruptured hepatic artery aneurysm in this location. A thorough knowledge of hepatic arterial anatomy and variations, and prompt diagnosis and urgent surgical intervention are necessary in such a potentially lethal condition.
据报道,一名72岁女性出现源于胃左动脉的移植左肝动脉孤立性、自发性破裂动脉瘤,导致失血性休克,通过手术结扎进行治疗。据我们所知,这是该部位肝动脉动脉瘤破裂的第二例病例报告。对于这种潜在致命疾病,深入了解肝动脉解剖结构及变异情况,并迅速诊断和进行紧急手术干预是必要的。