Balloon-expandable covered stenting of a large right hepatic artery aneurysm

Baqir J. Kedwai BHSc, Matthew Byrne MD, Joshua T. Geiger MD, Sam Najjar BS, Michael C. Stoner MD, Doran S. Mix MD
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Abstract

Hepatic artery aneurysms (HAAs) are rare visceral aneurysms with a high rupture rate. We report the case of an 88-year-old man with a 4.2-cm right HAA treated with covered stenting. Balloon-expandable covered stents effectively excluded the HAA with excellent proximal and distal seals. Our case is one of a limited number of reports on successfully repairing a hepatic aneurysm with a balloon-expandable stent graft. This case demonstrates that balloon expandable covered stenting is a viable approach in patients with appropriate anatomy and may be favorable in patients precluded from open bypass.
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大型右肝动脉瘤的球囊扩张覆盖支架植入术
肝动脉瘤(HAA)是一种罕见的内脏动脉瘤,破裂率很高。我们报告了一例 88 岁男性的病例,他患有 4.2 厘米的右侧 HAA,采用有盖支架治疗。球囊扩张型覆盖支架有效地排除了 HAA,近端和远端密封性极佳。我们的病例是使用球囊扩张支架移植物成功修复肝动脉瘤的有限报告之一。本病例表明,对于解剖结构合适的患者,球囊扩张覆盖支架移植是一种可行的方法,对于无法进行开放式搭桥的患者也是有利的。
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来源期刊
CiteScore
1.00
自引率
14.30%
发文量
219
审稿时长
29 weeks
期刊介绍: Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.
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