AP-HP, Hôpital Universitaire Necker Enfants Malades, Service d'Imagerie Adulte, Paris, France.
Université de Paris Cité, Paris, France.
Liver Int. 2022 Aug;42(8):1907-1908. doi: 10.1111/liv.15344. Epub 2022 Jun 28.
Cases of coronary and pulmonary artery pseudoaneurysms secondary to COVID-19 have been reported in the literature and are supposed to be secondary to inflammatory and vasculitis processes linked to a viral multisystem inflammatory syndrome. Although the incidence of COVID-19-associated liver injury ranges from 14% to 53% in hospitalized patients, COVID-19-associated hepatic artery pseudoaneurysms have never been reported so far. We present the case of a patient whose follow-up CT after cryoablation of renal cell carcinoma revealed seven fusiform pseudoaneurysms of the two hepatic arteries secondary to COVID-19. Anticoagulant or anti-inflammatory treatments were not introduced. Vascular lesions were unchanged on the 3-month follow-up CT. At 6-month CT, the proximal pseudoaneurysm was replaced by a proximal occlusion of the accessory RHA.
文献中报道了继发于 COVID-19 的冠状动脉和肺动脉假性动脉瘤病例，这些假性动脉瘤被认为继发于与病毒多系统炎症综合征相关的炎症和血管炎过程。尽管住院患者 COVID-19 相关肝损伤的发生率为 14%至 53%，但迄今为止从未报道过 COVID-19 相关肝动脉假性动脉瘤。我们报告了一例患者的病例，该患者在肾细胞癌冷冻消融后的随访 CT 显示，由于 COVID-19，两条肝动脉有七个梭形假性动脉瘤。未引入抗凝或抗炎治疗。血管病变在 3 个月的随访 CT 上无变化。在 6 个月的 CT 上，近端假性动脉瘤被副右肝动脉的近端闭塞所取代。
