Case report: hepatic artery pseudoaneurysm after liver transplantation: definitive treatment with a stent-graft after failed coil embolisation.
A 69-year-old woman presented with massive upper gastrointestinal bleeding owing to a ruptured hepatic pseudoaneurysm located at the surgical arterial anastomosis, 2 months after combined liver and kidney transplantation. Initially the pseudoaneurysm was successfully coiled but 3 weeks later recurrence of her symptoms occurred. Hepatic angiography revealed partial reperfusion of the coiled pseudoaneurysm; definitive treatment was performed by placement of an expanded-polytetrafluoroethylene (e-PTFE) covered coronary stent-graft, completely excluding the pseudoaneurysm. Radiological follow-up studies demonstrate a patent stent-graft functioning normally.
Maleux
G
G
Department of Radiology, University Hospitals Gasthuisberg, Herestraat, Belgium.
Pirenne
J
J
Aerts
R
R
Nevens
F
F
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D001672:Biocompatible Materials; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology; D006499:Hepatic Artery / Q000000981:diagnostic imaging; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects* / Q000000981:diagnostic imaging; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D011859:Radiography; D012008:Recurrence; D012086:Reoperation; D012422:Rupture, Spontaneous; D015607:Stents; D016896:Treatment Outcome
D001672:Biocompatible Materials; D011138:Polytetrafluoroethylene