Successful Treatment of Giant Common and Proper Hepatic Artery Aneurysm Complicating Autosomal Dominant Polycystic Kidney Disease.
Journal
Annals of vascular surgery
ISSN: 1615-5947
Titre abrégé: Ann Vasc Surg
Pays: Netherlands
ID NLM: 8703941
Informations de publication
Date de publication:
Jul 2022
Jul 2022
Historique:
received:
02
06
2021
revised:
20
12
2021
accepted:
15
03
2022
pubmed:
28
3
2022
medline:
29
6
2022
entrez:
27
3
2022
Statut:
ppublish
Résumé
Hepatic artery aneurysms (HAAs) complicating autosomal dominant polycystic kidney disease (ADPKD) are extremely rare. On account of the large number of renal cysts in ADPKD, ingenuity is required to safely perform surgery for HAA. Here, we present the case of a 60-year-old man with a common and proper HAA of >60 mm complicated with ADPKD. In this patient, difficulty in maintaining the field of view was expected during surgery. Hence, we performed a hybrid approach with celiac-to-right hepatic artery bypass by puncturing the femoral artery and cannulating the splenic artery to allow celiac-splenic artery balloon occlusion in case of rupture. More than 5 years postoperatively, the graft is patent without intervention.
Identifiants
pubmed: 35339594
pii: S0890-5096(22)00141-8
doi: 10.1016/j.avsg.2022.03.011
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
379.e1-379.e5Informations de copyright
Copyright © 2022 Elsevier Inc. All rights reserved.