Salcuni P F, Spaggiari L, Tecchio T, Benincasa A, Azzarone M
Department of General Thoracic and Vascular Surgery, University of Parma, Italy.
J Cardiovasc Surg (Torino). 1995 Dec;36(6):595-9.
Hepatic artery aneurysms are infrequent vascular lesions, difficult to diagnose preoperatively manifesting themselves usually by acute rupture. We report our experience in both diagnosis and surgical treatment of 3 cases. The selective angiograph of the celiac tripod and of superior mesenteric artery, is an indispensable means able, not only to put forward a certain diagnosis, but also to supply precious notions on the possibilities of compensation on the side of the collateral circle and of consequence, to suggest operative tactics. Surgical management may range from the simple binding to the reconstruction of the hepatic arterial axis by means of prosthesis grafts and if possible to the simple excision and termino-terminal regraft.
肝动脉瘤是一种罕见的血管病变，术前难以诊断，通常表现为急性破裂。我们报告了3例肝动脉瘤的诊断和手术治疗经验。腹腔干和肠系膜上动脉的选择性血管造影是一种不可或缺的手段，它不仅能够做出明确诊断，还能提供有关侧支循环代偿可能性的宝贵信息，从而有助于制定手术策略。手术治疗方式多样，从简单结扎到通过人工血管移植重建肝动脉轴，若可能，还可进行单纯切除和端端再植。
