Iseki J, Tada Y, Wada T, Nobori M
Gastroenterol Jpn. 1983 Apr;18(2):84-92.
One hundred and nineteen cases, including the one reported here, of hepatic artery aneurysm were reviewed. The clinical features and surgical management in four etiologic groups, consisting of arteriosclerosis, cholecystolithiasis, trauma and, specific diseases, were investigated. Interruption of the hepatic artery, entailing ligation of the hepatic artery, excision of the aneurysm without vascular reconstruction, and obliterative aneurysmorrhaphy, was done in 50 patients. Its high mortality rate (26%) was principally ascribed to delayed diagnosis or inappropriate site of interruption. If conditions such as shock, anoxia and portal thrombosis are avoided, interruption of the hepatic artery seems to be a safe and useful operative method for hepatic artery aneurysms, especially accompanied by severe local infection.
我们回顾了包括本文所报告病例在内的119例肝动脉动脉瘤病例。对由动脉硬化、胆囊结石、创伤以及特定疾病组成的四个病因组的临床特征和手术治疗进行了研究。50例患者接受了肝动脉阻断术，包括肝动脉结扎、不进行血管重建的动脉瘤切除术以及闭塞性动脉瘤缝扎术。其高死亡率（26%）主要归因于诊断延迟或阻断部位不当。如果避免诸如休克、缺氧和门静脉血栓形成等情况，肝动脉阻断术似乎是治疗肝动脉动脉瘤，尤其是伴有严重局部感染的肝动脉动脉瘤的一种安全有效的手术方法。
