Successful management of hepatic artery pseudoaneurysm complicating chronic pancreatitis by stenting.
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 multiply 2.5 cm Viabahn cover stent (Gore). A repeat angiogram showed some leak and a second stent (6 mm multiply 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.
Singh
Cynthia Sudar
CS
Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY 11237, USA. cynthia_sp@hotmail.com
Giri
Kamini
K
Gupta
Renuka
R
Aladdin
Mohammed
M
Sawhney
Harinder
H
D000328:Adult; D017541:Aneurysm, False / Q000209:etiology* / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D006499:Hepatic Artery / Q000503:physiopathology* / Q000601:surgery; D006801:Humans; D008297:Male; D050500:Pancreatitis, Chronic / Q000150:complications* / Q000503:physiopathology; D015607:Stents; D016896:Treatment Outcome