Surgical Repair of a Hepatic Artery Aneurysm: A Rare Case Report

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.