title: Management of hepatic artery aneurysms.
abstract: BACKGROUND
  Hepatic artery aneurysm (HAA) is a rare clinical entity that can lead to potentially life threatening complications. We reported our personal experience of 4 cases, in which we used different procedures.
  
  
  METHODS
  The first case had a pseudo-aneurysm involving the right hepatic artery. The second case had a pseudo-aneurysm, which was localized distal to the accidentally ligated right hepatic artery from the previous cholecystectomy operation. The third case had multiple aneurysms with accompanying dissecting abdominal aortic aneurysm. The fourth case had a pseudo-aneurysm originating from the proper hepatic artery. A covered stent was successfully placed in the case 1. In the second case, the right hepatic artery was ligated distal to the aneurysm. In the third case, vascular structures were not appropriate for vascular reconstruction, and a covered stent placement and embolization were unsuccessful. In the fourth case, ligation of the proper hepatic artery and cholecystectomy was performed.
  
  
  RESULTS
  The third case with multiple aneurysms died from multi-organ failure due to sepsis. The remaining cases (case 1, 2, and 4) are disease free and alive.
  
  
  CONCLUSIONS
  HAAs are more commonly observed clinical entities, and their treatment should be handled for each patient separately. Computerized tomography-Angiography and intraoperative Doppler ultrasound are useful radio-diagnostics for determination of aneurysm and planning the operative procedure (Fig. 5, Ref. 15).
authors.affiliation: Turkiye Yuksek Ihtisas Teaching and Research Hospital, Department of Gastroenterological Surgery, Ankara, Turkey.
authors.forename: E
authors.initials: E
authors.lastname: Polat
authors.forename: Y B
authors.initials: YB
authors.lastname: Ozogul
authors.forename: M
authors.initials: M
authors.lastname: Ercan
authors.forename: K
authors.initials: K
authors.lastname: Karaman
authors.forename: E
authors.initials: E
authors.lastname: Aksoy
authors.forename: F
authors.initials: F
authors.lastname: Kucukay
authors.forename: A
authors.initials: A
authors.lastname: Surmelioglu
authors.forename: T
authors.initials: T
authors.lastname: Dalgic
authors.forename: M
authors.initials: M
authors.lastname: Ulas
authors.forename: E B
authors.initials: EB
authors.lastname: Bostanci
authors.forename: M
authors.initials: M
authors.lastname: Akoglu
mesh_terms: D000328:Adult; D000368:Aged; D000783:Aneurysm / Q000175:diagnosis / Q000601:surgery*; D017541:Aneurysm, False / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006499:Hepatic Artery / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D014656:Vascular Surgical Procedures / Q000379:methods