Successful treatment of an iatrogenic right hepatic artery pseudoaneurysm and stenosis with a stent graft

Jared R. Hylton, William C Pevec

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

A 53-year-old woman presented with an iatrogenic right hepatic artery pseudoaneurysm after a laparoscopic cholecystectomy. Approximately 1 year after the cholecystectomy, liver transaminases were elevated, and she complained of recurrent "crampy" right upper quadrant pain that radiated posteriorly to her back. Imaging studies demonstrated an aneurysm or pseudoaneurysm of the hepatic artery at the porta hepatis, with possible infiltration into the parenchyma between the right and left lobes of the liver. Selective celiac arteriography showed a 90% stenosis of the right hepatic artery with a large pseudoaneurysm arising from the stenotic segment. This was treated with a 3- × 16-mm stent graft (Jostent; Abbott Vascular, Temecula, Calif) with good result. The completion arteriogram showed wide patency of the stent graft with total exclusion of the pseudoaneurysm. Follow-up serial duplex scans up to 40 months after the procedure showed no evidence of residual pseudoaneurysm and wide patency of the stent graft, with no evidence of focal velocity changes in the right hepatic artery. The patient continues to do well clinically.

Original languageEnglish (US)
Pages (from-to)1510-1513
Number of pages4
JournalJournal of Vascular Surgery
Volume51
Issue number6
DOIs
StatePublished - Jun 2010

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Hepatic Artery
False Aneurysm
Stents
Pathologic Constriction
Transplants
Therapeutics
Laparoscopic Cholecystectomy
Liver
Cholecystectomy
Transaminases
Abdomen
Aneurysm
Blood Vessels
Angiography
Pain

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Successful treatment of an iatrogenic right hepatic artery pseudoaneurysm and stenosis with a stent graft. / Hylton, Jared R.; Pevec, William C.

In: Journal of Vascular Surgery, Vol. 51, No. 6, 06.2010, p. 1510-1513.

Research output: Contribution to journalArticle

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