Successful covering of a hepatic artery aneurysm with a coronary stent graft.
In a 54-year-old woman with liver cirrhosis who underwent orthotopic liver transplantation, the postoperative course was complicated by aneurysm formation in the hepatic artery. Abdominal ultrasonography showed a daily increase in size of the aneurysm in spite of careful management including strict rest and continuous intravenous infusion of antihypertensive agents. Since the patient's poor systemic status was a major obstruction to operative resection, transcatheter therapy was though more preferable. We evaluated the lesion with intravascular ultrasonography as an adjunct to angiography and dissection with a flap was well visualized. The aneurysm was covered with a commercially available stent-graft, designed for treatment of the coronary artery. This is a rare case in which a Jostent was implanted into the hepatic artery after liver transplantation.
Sakai
Hidetsugu
H
Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine, Kita 15, Nishi 7, Kita-ku, Sapporo, Hokkaido 060-8638, Japan. sakahide@med.hokudai.ac.jp
Urasawa
Kazushi
K
Oyama
Naotsugu
N
kitabatake
Akira
A
D000783:Aneurysm / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation* / Q000379:methods; D017023:Coronary Angiography; D003331:Coronary Vessels; D003952:Diagnostic Imaging / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006499:Hepatic Artery; D006801:Humans; D008103:Liver Cirrhosis / Q000175:diagnosis / Q000601:surgery; D016031:Liver Transplantation / Q000009:adverse effects / Q000379:methods; D008875:Middle Aged; D018570:Risk Assessment; D015607:Stents; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler