Ferrara D, Giribono A M, Viviani E, Padricelli A, Santagata A, Del Guercio L
Department of Vascular and Endovascular Surgery, University Federico II of Naples, Italy.
Clin Ter. 2017 May-Jun;168(3):e178-e180. doi: 10.7417/T.2017.2001.
Visceral arteries aneurysms (VAA) are an increasingly interesting clinical entity due to their challenging diagnosis and treatment options. The more prevalent use and accuracy of enhanced imaging techniques such as ultrasonography and computed tomography have increased the frequency of diagnosis of aneurysmal degeneration of the visceral arteries. Despite there is no statistically significant difference in terms of overall mortality and post-operative complications between endovascular therapy and open repair, interventional strategies present a significantly lower length of stay and less invasiveness and should be preferred in elderly patients, or in case of co-morbidity and poor candidates for surgery. We herein describe the case of a 79-year-old male who presented a common hepatic artery aneurism (CHAA), involving aberrant visceral arteries anatomy.
内脏动脉瘤（VAA）因其具有挑战性的诊断和治疗选择而成为一个越来越受关注的临床实体。超声和计算机断层扫描等增强成像技术的更广泛应用和更高准确性，增加了内脏动脉动脉瘤样变性的诊断频率。尽管血管内治疗和开放修复在总体死亡率和术后并发症方面没有统计学上的显著差异，但介入策略的住院时间明显更短，侵入性更小，在老年患者、合并症患者以及手术不佳的患者中应优先选择。我们在此描述一例79岁男性患者，其患有累及异常内脏动脉解剖结构的肝总动脉瘤（CHAA）。
