Use of a stent graft for bleeding hepatic artery pseudoaneurysm following pancreaticoduodenectomy.
Although uncommon, bleeding following pancreaticoduodenectomy is associated with high mortality. Management generally includes surgical reexploration or, alternatively, transarterial embolization. We report the case of a 62-year-old man who presented with massive upper gastrointestinal bleeding 3 weeks after pancreaticoduodenectomy. Selective coeliac angiography revealed a large pseudoaneurysm involving the proper hepatic artery. This was treated successfully with a stent graft. There was no recurrence of bleeding at the 6-month follow-up. To our knowledge, this is the first report of stent graft repair of bleeding hepatic artery pseudoaneurysm following pancreaticoduodenectomy.
Kaw
Leoncio L
LL
Division of Cardiothoracic and Vascular Surgery, Scripps Clinic and Scripps Green Hospital, La Jolla, California, USA. junkaw2000@yahoo.com
Saeed
Moshin
M
Brunson
Matt
M
Delaria
Giacomo A
GA
Dilley
Ralph B
RB
D017541:Aneurysm, False / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D000792:Angiography; D005500:Follow-Up Studies; D006499:Hepatic Artery / Q000000981:diagnostic imaging; D006801:Humans; D008100:Liver Abscess / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008551:Melena / Q000209:etiology*; D008875:Middle Aged; D016577:Pancreaticoduodenectomy; D011183:Postoperative Complications; D011860:Radiography, Abdominal; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed