Management of a traumatic hepatic artery pseudoaneurysm and arterioportal fistula with a combination of a stent graft and coil embolization using flow control with balloon remodeling.
We describe a child who presented with a traumatic hepatic artery pseudoaneurysm and arterioportal fistula, which were subsequently managed with an endovascular stent graft and coil embolization using flow control with balloon remodeling. This case demonstrates a rarely seen condition in the pediatric population and a novel management strategy, which should be considered in the management of this complex injury.
Section of Pediatric Surgery, CS Mott Children's Hospital, University of Michigan, Ann Arbor, MI 48109, USA.
Andrew S
AS
Flum
James D
JD
Geiger
Joseph J
JJ
Gemmete
David M
DM
Williams
Daniel H
DH
Teitelbaum
D000063:Accidents, Traffic; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002404:Catheterization / Q000379:methods*; D002648:Child; D004621:Embolization, Therapeutic / Q000379:methods*; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D006801:Humans; D008102:Liver Circulation / Q000502:physiology; D008297:Male; D011169:Portal Vein / Q000601:surgery*; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods