title: Use of a stent graft for bleeding hepatic artery pseudoaneurysm following pancreaticoduodenectomy.
abstract: 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.
authors.affiliation: Division of Cardiothoracic and Vascular Surgery, Scripps Clinic and Scripps Green Hospital, La Jolla, California, USA. junkaw2000@yahoo.com
authors.forename: Leoncio L
authors.initials: LL
authors.lastname: Kaw
authors.forename: Moshin
authors.initials: M
authors.lastname: Saeed
authors.forename: Matt
authors.initials: M
authors.lastname: Brunson
authors.forename: Giacomo A
authors.initials: GA
authors.lastname: Delaria
authors.forename: Ralph B
authors.initials: RB
authors.lastname: Dilley
mesh_terms: 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