Percutaneous and endovascular embolization of ruptured hepatic artery aneurysm.
A 72-year-old woman presented with an intraperitoneal hemorrhage from a ruptured intrahepatic artery aneurysm, with an associated pseudoaneurysm developing a high-flow arteriovenous fistula. Persistent coagulopathy and a median arcuate ligament stenosis of the celiac axis further complicated endovascular management. Aneurysm thrombosis required percutaneous embolization with coils, a removable core guidewire and polyvinyl alcohol particles.
Little
Andrew F
AF
Department of Medical Imaging, St. Vincent's Hospital, Melbourne, Australia. AFLittle@bigpond.com
Lee
Wai Kit
WK
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging* / Q000473:pathology / Q000628:therapy*; D000792:Angiography; D004621:Embolization, Therapeutic; D005260:Female; D006499:Hepatic Artery / Q000000981:diagnostic imaging*; D006801:Humans; D014057:Tomography, X-Ray Computed