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

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