Zhakubayev Manat, Maruya Yasuhiro, Takatsuki Mitsuhisa, Baimakhanov Zhassulan, Soyama Akihiko, Hidaka Masaaki, Adachi Tomohiko, Sakomoto Ichiro, Eguchi Susumu
Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan.
Department of Surgery, A.N. Syzganov's National Scientific Center of Surgery, Almaty, Kazakhstan.
Radiol Case Rep. 2018 Dec 8;14(1):44-47. doi: 10.1016/j.radcr.2018.09.008. eCollection 2019 Jan.
OBJECTIVE/BACKGROUND: Huge aneurysm of the visceral artery is rare and a treatment strategy for such cases has not yet been established. Here, we report a case of huge aneurysm of the common hepatic artery (44-mm diameter) successfully treated by stent placement.
A 77-year-old female patient was referred to our department due to growth of the common hepatic artery aneurysm. The cause of the aneurysm was suspected to be segmental arterial mediolysis. Due to the possibility of a spontaneous rupture, we decided to stent the common hepatic artery.
We had some difficulties during the procedure, such as thrombosis of the stent, and it was necessary to insert an additional stent. The procedure was effective and the patient has been doing well without any complications at the 6-year follow-up.
Stenting is possible and effective in cases of huge aneurysm of the common hepatic artery.
目的/背景：内脏动脉巨大动脉瘤较为罕见，此类病例的治疗策略尚未确立。在此，我们报告一例通过支架置入成功治疗的肝总动脉巨大动脉瘤（直径44毫米）。
一名77岁女性患者因肝总动脉瘤增大被转诊至我科。动脉瘤的病因怀疑为节段性动脉中层溶解。由于存在自发破裂的可能性，我们决定对肝总动脉进行支架置入。
手术过程中我们遇到了一些困难，如支架血栓形成，因此有必要额外置入一枚支架。手术是有效的，在6年的随访中，患者情况良好，无任何并发症。
对于肝总动脉巨大动脉瘤病例，支架置入是可行且有效的。
