Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society E-ISSN 2667-5080



Turkish Journal of Vascular Surgery 2013 , Vol 22 , Issue 1
Surgical Repair of a Hepatic Artery Aneurysm: A Rare Case Report
Kemalettin ERDEM, Onursal BUĞRA, Emine DAĞISTAN, Orhan BOZOĞLAN, Ümit YAŞAR TEKELİOĞLU, Akçan AKKAYA, Bahadır DAĞLAR
1Departments of Cardiovascular Surgery, Abant İzzet Baysal University Faculty of Medicine, Bolu
2Departments of Radiology, Abant İzzet Baysal University Faculty of Medicine, Bolu
3Department of Cardiovascular Surgery, Kahramanmaraş Sütçü İmam University Faculty of Medicine, Kahramanmaraş
4Anesthesiology and Reanimation, Abant İzzet Baysal University Faculty of Medicine, Bolu
DOI : 10.9739/uvcd.2012-32357 Hepatic artery aneurysms (HAAs) account for approximately 20% of splanchnic artery aneurysms (SAAs). Most of the SAAs are generally asymptomatic and detected incidentally. Rupture of HAA is the first clinical manifestation in 80% of the cases. A 54-year-old female patient whose HAA was incidentally detected with abdominal ultrasonography two years ago, was referred to our clinic. Celiac artery angiography demonstrated a HAA in 4x6 cm diameters arising from the common hepatic artery. Abdominal wall opened through a median incision. After 5000 IU of systemic heparinization, proximal hepatic, distal hepatic and gastroduodenal arteries were clamped. Aneurysm was removed and saphenous vein interposition was performed by end-to-end anastomosis. Gastroduodenal artery end-to-side anastomosis was performed through the interposition of a 2 cm saphenous vein. The patient was discharged uneventfully on the postoperative eighth day. Keywords : Aneurysm; splanchnic circulation; hepatic artery aneurysms
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