Celiacobihepatic venous bypass for liver revascularization in a patient with intrahepatic contained rupture of a common hepatic artery aneurysm

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Albert Busch - , Universitätsklinikum Würzburg (Autor:in)
  • Joachim Reibetanz - , Universitätsklinikum Würzburg (Autor:in)
  • Sven Flemming - , Universitätsklinikum Würzburg (Autor:in)
  • Ulrich Steger - , Universitätsklinikum Würzburg (Autor:in)
  • Richard Kellersmann - , Universitätsklinikum Würzburg (Autor:in)

Abstract

Visceral artery aneurysms are rare, often incidental findings due to unspecific or no symptoms. We report a unique case of a 54-year-old patient with a contained rupture of a common hepatic artery aneurysm, without panarteritis nodosa or immunoglobulin G4 association, into the right liver hilum, that led to shock, cholestasis, and liver function impairment. Aneurysm resection and cholecystectomy, followed by revascularization with a great saphenous vein celiacobihepatic bypass and Roux-en-Y hepaticojejunostomy were performed. The patient was discharged 13 days later. Liver function was normal, and the revascularization patency was confirmed at follow-up at 3 and 12 months.

Details

OriginalspracheEnglisch
Seiten (von - bis)230-2
Seitenumfang3
FachzeitschriftJournal of vascular surgery
Jahrgang60
Ausgabenummer1
PublikationsstatusVeröffentlicht - Juli 2014
Peer-Review-StatusJa
Extern publiziertJa

Externe IDs

Scopus 84903214787

Schlagworte

Schlagwörter

  • Anastomosis, Surgical, Aneurysm/surgery, Aneurysm, False/etiology, Aneurysm, Ruptured/complications, Celiac Artery/surgery, Hepatic Artery/surgery, Humans, Male, Middle Aged, Saphenous Vein/transplantation