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Title: Successful Covering of a Hepatic Artery Aneurysm with a Coronary Stent Graft

Abstract

In a 54-year-old woman with liver cirrhosis who underwent orthotopic liver transplantation, the postoperative course was complicated by aneurysm formation in the hepatic artery. Abdominal ultrasonography showed a daily increase in the size of the aneurysm in spite of careful management including strict rest and continuous intravenous infusion of antihypertensive agents. Since the patient's poor systemic status was a major obstruction to operative resection, transcatheter therapy was thought more preferable. We evaluated the lesion with intravascular ultrasonography as an adjunct to angiography and a dissection with a flap was well visualized. The aneurysm was covered with a commercially available stent-graft, designed for treatment of the coronary artery. This is a rare case in which a Jostent was implanted into the hepatic artery after liver transplantation.

Authors:
; ; ;  [1]
  1. Hokkaido University Graduate School of Medicine, Department of Cardiovascular Medicine (Japan)
Publication Date:
OSTI Identifier:
21088271
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 27; Journal Issue: 3; Other Information: DOI: 10.1007/s00270-003-4030-x; Copyright (c) 2004 Springer-Verlag; Article Copyright (c) 2004 Springer-Verlag New York, Inc; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ANTIHYPERTENSIVE AGENTS; BIOMEDICAL RADIOGRAPHY; CORONARIES; GRAFTS; INFUSION; LIVER; LIVER CIRRHOSIS; THERAPY; ULTRASONOGRAPHY; WOMEN

Citation Formats

Sakai, Hidetsugu, Urasawa, Kazushi, Oyama, Naotsugu, and Kitabatake, Akira. Successful Covering of a Hepatic Artery Aneurysm with a Coronary Stent Graft. United States: N. p., 2004. Web. doi:10.1007/S00270-003-4030-X.
Sakai, Hidetsugu, Urasawa, Kazushi, Oyama, Naotsugu, & Kitabatake, Akira. Successful Covering of a Hepatic Artery Aneurysm with a Coronary Stent Graft. United States. doi:10.1007/S00270-003-4030-X.
Sakai, Hidetsugu, Urasawa, Kazushi, Oyama, Naotsugu, and Kitabatake, Akira. 2004. "Successful Covering of a Hepatic Artery Aneurysm with a Coronary Stent Graft". United States. doi:10.1007/S00270-003-4030-X.
@article{osti_21088271,
title = {Successful Covering of a Hepatic Artery Aneurysm with a Coronary Stent Graft},
author = {Sakai, Hidetsugu and Urasawa, Kazushi and Oyama, Naotsugu and Kitabatake, Akira},
abstractNote = {In a 54-year-old woman with liver cirrhosis who underwent orthotopic liver transplantation, the postoperative course was complicated by aneurysm formation in the hepatic artery. Abdominal ultrasonography showed a daily increase in the size of the aneurysm in spite of careful management including strict rest and continuous intravenous infusion of antihypertensive agents. Since the patient's poor systemic status was a major obstruction to operative resection, transcatheter therapy was thought more preferable. We evaluated the lesion with intravascular ultrasonography as an adjunct to angiography and a dissection with a flap was well visualized. The aneurysm was covered with a commercially available stent-graft, designed for treatment of the coronary artery. This is a rare case in which a Jostent was implanted into the hepatic artery after liver transplantation.},
doi = {10.1007/S00270-003-4030-X},
journal = {Cardiovascular and Interventional Radiology},
number = 3,
volume = 27,
place = {United States},
year = 2004,
month = 9
}
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  • Celiac trunk aneurysms are rare and usually asymptomatic lesions. However, treatment is generally warranted to avoid catastrophic rupture. We report a case of a 70-year-old man who sought care for a celiac trunk aneurysm close to the hepatosplenic bifurcation managed endovascularly by using a combined treatment of celiac-splenic stent-graft implantation and hepatic artery embolization.
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