title: Celiacobihepatic venous bypass for liver revascularization in a patient with intrahepatic contained rupture of a common hepatic artery aneurysm.
abstract: Visceral artery aneurysms are rare, often incidental findings due to unspecific or no symptoms. We report a unique case of a 54-year-old patient with a contained rupture of a common hepatic artery aneurysm, without panarteritis nodosa or immunoglobulin G4 association, into the right liver hilum, that led to shock, cholestasis, and liver function impairment. Aneurysm resection and cholecystectomy, followed by revascularization with a great saphenous vein celiacobihepatic bypass and Roux-en-Y hepaticojejunostomy were performed. The patient was discharged 13 days later. Liver function was normal, and the revascularization patency was confirmed at follow-up at 3 and 12 months.
authors.affiliation: Department of Vascular and Endovascular Surgery, University Clinic of Würzburg, Würzburg, Germany; Department of General, Visceral, Vascular & Paediatric Surgery, University Clinic of Würzburg, Würzburg, Germany. Electronic address: busch_a2@chirurgie.uni-wuerzburg.de.
authors.forename: Albert
authors.initials: A
authors.lastname: Busch
authors.affiliation: Department of General, Visceral, Vascular & Paediatric Surgery, University Clinic of Würzburg, Würzburg, Germany.
authors.forename: Joachim
authors.initials: J
authors.lastname: Reibetanz
authors.affiliation: Department of General, Visceral, Vascular & Paediatric Surgery, University Clinic of Würzburg, Würzburg, Germany.
authors.forename: Sven
authors.initials: S
authors.lastname: Flemming
authors.affiliation: Department of General, Visceral, Vascular & Paediatric Surgery, University Clinic of Würzburg, Würzburg, Germany.
authors.forename: Ulrich
authors.initials: U
authors.lastname: Steger
authors.affiliation: Department of Vascular and Endovascular Surgery, University Clinic of Würzburg, Würzburg, Germany; Department of General, Visceral, Vascular & Paediatric Surgery, University Clinic of Würzburg, Würzburg, Germany.
authors.forename: Richard
authors.initials: R
authors.lastname: Kellersmann
mesh_terms: D000714:Anastomosis, Surgical; D000783:Aneurysm / Q000601:surgery*; D017541:Aneurysm, False / Q000209:etiology / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000150:complications / Q000601:surgery*; D002445:Celiac Artery / Q000601:surgery*; D006499:Hepatic Artery / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000637:transplantation