title: Dissecting aneurysm of the hepatic artery caused by an isolated spontaneous celiac trunk dissection.
abstract: Dissecting hepatic artery aneurysm caused by an isolated spontaneous celiac artery dissection is a life-threatening condition with only 5 cases reported previously. We report a successful resection and revascularization of all affected arteries with an inferior mesenteric vein graft in a 59-year-old asymptomatic man with a large dissecting common and proper hepatic artery aneurysm (diameter, 4.2 cm) due to a spontaneous dissection from the celiac trunk to the proximal splenic artery and the right hepatic artery. Our case suggests that intervention should not be delayed in cases of hepatic aneurysm and a long dissection extending to the proper hepatic artery because of the difficulty in restoring hepatic circulation and preventing rupture.
authors.affiliation: Department of Surgery, Shinko Hospital, Kobe, Japan. Electronic address: hhiga007ke@shinkohp.or.jp.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Higashiyama
authors.affiliation: Department of Surgery, Shinko Hospital, Kobe, Japan.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Ishii
authors.affiliation: Department of Surgery, Shinko Hospital, Kobe, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Fujimoto
authors.affiliation: Department of Surgery, Shinko Hospital, Kobe, Japan.
authors.forename: Yurika
authors.initials: Y
authors.lastname: Oka
authors.affiliation: Department of Surgery, Shinko Hospital, Kobe, Japan.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Uehara
authors.affiliation: Department of Surgery, Professor Emeritus, Showa University, Tokyo, Japan.
authors.forename: Kaoru
authors.initials: K
authors.lastname: Kumada
authors.affiliation: Department of Surgery, Shinko Hospital, Kobe, Japan.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Yamamoto
mesh_terms: D000714:Anastomosis, Surgical; D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D017542:Aneurysm, Ruptured / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000792:Angiography; D001807:Blood Vessel Prosthesis; D002445:Celiac Artery; D005500:Follow-Up Studies; D006499:Hepatic Artery; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures / Q000379:methods*