Graham Isabella, Kanitra John, Berg Richard, Haouilou Jimmy
Department of Pathology, St. George's University School of Medicine, West Indies, Grenada.
Department of Surgery, Ascension St. John Hospital, Detroit, Mich.
J Vasc Surg Cases Innov Tech. 2021 Mar 2;7(2):283-285. doi: 10.1016/j.jvscit.2021.02.012. eCollection 2021 Jun.
First-line management of hepatic artery aneurysms is via an endovascular approach. However, unfavorable anatomy may preclude this. We present a patient with an aneurysm involving most of the common hepatic artery and the entire proper hepatic artery including the emergence of the right and left hepatic artery and the gastroduodenal artery. The endovascular approach was not feasible due to unfavorable anatomy. The patient was successfully treated with an open bifurcated Dacron graft.
肝动脉瘤的一线治疗方法是采用血管内介入途径。然而，解剖结构不佳可能会使这种方法无法实施。我们报告一例患者，其动脉瘤累及大部分肝总动脉以及整个肝固有动脉，包括左右肝动脉和胃十二指肠动脉的起始部。由于解剖结构不佳，血管内介入方法不可行。该患者通过开放式分叉涤纶移植物成功治愈。
