title: Hepatic artery aneurysm in a patient with hepatitis C liver cirrhosis: report of a case.
abstract: Visceral artery aneurysms are rare, with an incidence rate of only 0.01-0.2 % in routine autopsies, and hepatic artery aneurysms account for approximately 20 % of these aneurysms. Despite recent advances in therapeutic techniques and diagnostic tools, the management of visceral artery aneurysms remains clinically challenging. We report a case of hepatic artery aneurysm with liver cirrhosis due to hepatitis C in an 81-year-old woman. A computed tomography scan demonstrated a hepatic artery aneurysm 4.4 cm in diameter. She underwent successful aneurysmectomy with vascular anastomosis. A computed tomography scan on postoperative day 7 demonstrated patent hepatic artery. The patient was followed-up for 1 year after surgery and died owing to progressive liver failure. However, she did not show any hepatic artery problem such as hepatic arterial thrombosis or occlusion. We discuss the risk factors of atherosclerosis in patients with liver cirrhosis, and present an overview of the treatment of hepatic artery aneurysms.
authors.affiliation: Department of Surgery, The University of Tokushima, Tokushima, 770-8501, Japan.|Department of Surgery, Saiseikai Fukuoka General Hospital, Fukuoka, 810-0001, Japan.
authors.forename: Yu
authors.initials: Y
authors.lastname: Saito
authors.affiliation: Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, 812-8582, Japan. yosizumi@surg2.med.kyushu-u.ac.jp.|Department of Surgery, Saiseikai Fukuoka General Hospital, Fukuoka, 810-0001, Japan. yosizumi@surg2.med.kyushu-u.ac.jp.
authors.forename: Tomoharu
authors.initials: T
authors.lastname: Yoshizumi
authors.affiliation: Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, 812-8582, Japan.|Department of Surgery, Saiseikai Fukuoka General Hospital, Fukuoka, 810-0001, Japan.
authors.forename: Noboru
authors.initials: N
authors.lastname: Harada
authors.affiliation: Department of Surgery, Saiseikai Fukuoka General Hospital, Fukuoka, 810-0001, Japan.
authors.forename: Hiroto
authors.initials: H
authors.lastname: Kayashima
authors.affiliation: Department of Surgery, Saiseikai Fukuoka General Hospital, Fukuoka, 810-0001, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Yamasaki
authors.affiliation: Department of Surgery, Saiseikai Fukuoka General Hospital, Fukuoka, 810-0001, Japan.
authors.forename: Noriaki
authors.initials: N
authors.lastname: Sadanaga
authors.affiliation: Department of Surgery, Saiseikai Fukuoka General Hospital, Fukuoka, 810-0001, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Matsuura
authors.affiliation: Department of Surgery, Saiseikai Fukuoka General Hospital, Fukuoka, 810-0001, Japan.
authors.forename: Kenichiro
authors.initials: K
authors.lastname: Okadome
keywords: Atherosclerosis; Hepatic artery aneurysm; Hepatitis C