Successful treatment of an iatrogenic right hepatic artery pseudoaneurysm and stenosis with a stent graft Jared R. Hylton, MS, William C. Pevec, MD

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Presentation transcript:

Successful treatment of an iatrogenic right hepatic artery pseudoaneurysm and stenosis with a stent graft Jared R. Hylton, MS, William C. Pevec, MD Journal of Vascular Surgery Volume 51, Issue 6, Pages 1510-1513 (June 2010) DOI: 10.1016/j.jvs.2009.12.061 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 A computed tomography scan of the abdomen shows the pseudoaneurysm (arrow) at the porta hepatis. Journal of Vascular Surgery 2010 51, 1510-1513DOI: (10.1016/j.jvs.2009.12.061) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 A selective celiac arteriogram shows the hepatic artery pseudoaneurysm (PSA). The origin of the pseudoaneurysm is not clear. CHA, Common hepatic artery; GDA, gastroduodenal artery; PHA, proper hepatic artery; SA, splenic artery. Journal of Vascular Surgery 2010 51, 1510-1513DOI: (10.1016/j.jvs.2009.12.061) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 3 A subselective right hepatic arteriogram shows the pseudoaneurysm (black arrow) arising from the right hepatic artery, associated with a 90% stenosis (white arrow) of the right hepatic artery. Journal of Vascular Surgery 2010 51, 1510-1513DOI: (10.1016/j.jvs.2009.12.061) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 4 A completion right hepatic arteriogram shows the successful treatment of the stenosis and pseudoaneurysm with a 3- × 16-mm stent graft (between the arrows). Journal of Vascular Surgery 2010 51, 1510-1513DOI: (10.1016/j.jvs.2009.12.061) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 5 B-mode ultrasound (left) and color duplex ultrasound (right) images show the stent graft (between the arrows) in the right hepatic artery. Journal of Vascular Surgery 2010 51, 1510-1513DOI: (10.1016/j.jvs.2009.12.061) Copyright © 2010 Society for Vascular Surgery Terms and Conditions