Successful management of hepatic artery pseudoaneurysm complicating chronic pancreatitis by stenting

• Published in: World journal of gastroenterology : WJG Vol. 12; no. 35; pp. 5733 - 5734
• Main Authors: Singh, Cynthia Sudar, Giri, Kamini, Gupta, Renuka, Aladdin, Mohammed, Sawhney, Harinder
• Format: Journal Article
• Language: English
• Published: United States Department of Medicine, Wyckoff Heights Medical Center, Brooklyn, New York, United States 21-09-2006; Baishideng Publishing Group Co., Limited
• Subjects: Adult; Aneurysm, False - etiology; Aneurysm, False - surgery; Blood Vessel Prosthesis Implantation - methods; Case Report; Hepatic Artery - physiopathology; Hepatic Artery - surgery; Humans; Male; Pancreatitis, Chronic - complications; Pancreatitis, Chronic - physiopathology; Stents; Treatment Outcome; 慢性胰腺炎; 病理机制; 肝动脉瘤; Hepatic artery; Stents; Aneurysm
• ISSN: 1007-9327; 2219-2840
• DOI: 10.3748/wjg.v12.i35.5733

A 41-year old alchoholic male with a history of chronic pancreatitis was admitted for nausea, vomiting and weight loss. Angiogram was performed and demonstrated an aneurysmal sac with a narrow neck originating from the inferior aspect of the distal portion of the proper hepatic artery. The origin of the pseudoaneurysm was covered with a 5 mm × 2.5 cm Viabahn cover stent （Gore）. A repeat angiogram showed some leak and a second stent （6 mm × 2.3 cm） was deployed and overlapped with the first stent by 3 mm. Contrast was injected and a repeat angiogram demonstrated complete exclusion of the aneurysm. A repeat computerized axial tomography （CAT） scan of the abdomen after 24 h showed successful stenting. The patient had an uneventful post-operative course.