Kedwai Baqir J, Byrne Matthew, Geiger Joshua T, Najjar Sam, Stoner Michael C, Mix Doran S
Department of Surgery, University of Rochester Medical Center, Rochester, NY.
J Vasc Surg Cases Innov Tech. 2024 Aug 19;10(6):101601. doi: 10.1016/j.jvscit.2024.101601. eCollection 2024 Dec.
Hepatic artery aneurysms (HAAs) are rare visceral aneurysms with a high rupture rate. We report the case of an 88-year-old man with a 4.2-cm right HAA treated with covered stenting. Balloon-expandable covered stents effectively excluded the HAA with excellent proximal and distal seals. Our case is one of a limited number of reports on successfully repairing a hepatic aneurysm with a balloon-expandable stent graft. This case demonstrates that balloon expandable covered stenting is a viable approach in patients with appropriate anatomy and may be favorable in patients precluded from open bypass.
肝动脉动脉瘤(HAAs)是一种罕见的内脏动脉瘤,破裂率很高。我们报告了一例88岁男性患者,其右肝动脉动脉瘤大小为4.2厘米,采用覆膜支架置入术进行治疗。球囊扩张式覆膜支架有效地隔绝了肝动脉动脉瘤,近端和远端封堵效果良好。我们的病例是少数关于使用球囊扩张式支架成功修复肝动脉瘤的报告之一。该病例表明,对于解剖结构合适的患者,球囊扩张式覆膜支架置入术是一种可行的方法,对于那些不适合进行开放旁路手术的患者可能更具优势。