Splenic artery transposition graft usage for the supply of the right hepatic artery: a case report.
Int Surg
; 98(3): 277-81, 2013.
Article
em En
| MEDLINE
| ID: mdl-23971784
ABSTRACT
Hepatic artery aneurysms are responsible for 12% to 20% of all visceral arterial aneurysms. Because most patients are asymptomatic, this disease is generally diagnosed incidentally during radiologic examination. Aneurysm rupture develops in 14% to 80% of cases, depending on the aneurysmatic segment's diameter and location, as well as other etiologic factors. Mortality rates associated with rupture range between 20% and 70%. Thus, early diagnosis and timely initiation of medical interventions are critical to improve survival rates. Here, we present a male patient, age 69 years, with a hepatic artery aneurysm that was detected incidentally. The 3-cm aneurysm was detected on contrast-enhanced computed tomography and extended from the common hepatic artery to the hepatic trifurcation. A laparotomy was performed using a right subcostal incision. After dissection of the hepatoduodenal ligament, the common, right, and left hepatic arteries, as well as the gastroduodenal artery, were suspended separately. Then, the aneurysmatic hepatic artery segment was resected, and the gastroduodenal artery stump was ligated. An end-to-end anastomosis was formed between the left and common hepatic arteries, followed by an end-to-end anastomosis formed between the right hepatic artery and splenic artery using a splenic artery transposition graft. Postoperative follow-up examinations showed that both hepatic arterial circulations were good, and no splenic infraction had developed.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Artéria Esplênica
/
Implante de Prótese Vascular
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Artéria Hepática
/
Aneurisma
Tipo de estudo:
Diagnostic_studies
/
Screening_studies
Limite:
Aged
/
Humans
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Male
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article