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

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Albert Busch - , University Hospital of Würzburg (Author)
  • Joachim Reibetanz - , University Hospital of Würzburg (Author)
  • Sven Flemming - , University Hospital of Würzburg (Author)
  • Ulrich Steger - , University Hospital of Würzburg (Author)
  • Richard Kellersmann - , University Hospital of Würzburg (Author)

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

Original languageEnglish
Pages (from-to)230-2
Number of pages3
JournalJournal of vascular surgery
Volume60
Issue number1
Publication statusPublished - Jul 2014
Peer-reviewedYes
Externally publishedYes

External IDs

Scopus 84903214787

Keywords

Keywords

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