Back to Search
Start Over
Endovascular management of a large hepatic artery aneurysm related to type B aortic dissection.
- Source :
-
BJR case reports [BJR Case Rep] 2020 Aug 05; Vol. 6 (4), pp. 20200009. Date of Electronic Publication: 2020 Aug 05 (Print Publication: 2020). - Publication Year :
- 2020
-
Abstract
- Management of visceral artery aneurysms can be challenging: there is limited evidence to determine size thresholds for intervention and it is often technically difficult to exclude the aneurysms while preserving visceral perfusion. We present the case of a 68-year-old male with a rapidly enlarging hepatic artery aneurysm related to type B aortic dissection extending into the coeliac axis, which presented unique difficulties due to its morphology and filling via the false lumen. Endovascular treatment involved stent-graft placement from the coeliac axis into the splenic artery with the intention of excluding the coeliac supply to the common hepatic artery. Despite early stent-graft occlusion, the aneurysm was successfully excluded and adequate hepatic and splenic perfusion was maintained. The patient made a good recovery.<br /> (© 2020 The Authors. Published by the British Institute of Radiology.)
Details
- Language :
- English
- ISSN :
- 2055-7159
- Volume :
- 6
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- BJR case reports
- Publication Type :
- Report
- Accession number :
- 33299582
- Full Text :
- https://doi.org/10.1259/bjrcr.20200009