Operative management of hepatic artery aneurysms

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Presentation transcript:

Operative management of hepatic artery aneurysms Young Erben, MD, Randall R. De Martino, MD, MS, Haraldur Bjarnason, MD, Audra A. Duncan, MD, Manju Kalra, MBBS, Gustavo S. Oderich, MD, Thomas C. Bower, MD, Peter Gloviczki, MD Journal of Vascular Surgery Volume 62, Issue 3, Pages 610-615 (September 2015) DOI: 10.1016/j.jvs.2015.03.077 Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 1 Location of each hepatic artery aneurysm (HAA). Reprinted by permission of Mayo Foundation for Medical Education and Research. All rights reserved. Journal of Vascular Surgery 2015 62, 610-615DOI: (10.1016/j.jvs.2015.03.077) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 2 Treatment of each hepatic artery aneurysm (HAA). CIA, Common iliac artery; ET, endovascular technique; OT, open technique; PTFE, polytetrafluoroethylene; SVG, saphenous vein graft. Journal of Vascular Surgery 2015 62, 610-615DOI: (10.1016/j.jvs.2015.03.077) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 3 A, Intraoperative photograph of a common and proper hepatic artery aneurysm (HAA) before resection. B, In situ saphenous vein graft from the common hepatic artery to the right hepatic artery. Reprinted by permission of Mayo Foundation for Medical Education and Research. All rights reserved. Journal of Vascular Surgery 2015 62, 610-615DOI: (10.1016/j.jvs.2015.03.077) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 4 Common hepatic artery aneurysm (HAA) before embolization (A) and after embolization (B), demonstrating flow to the liver through the gastroduodenal artery (black arrow, aneurysmal segment before and after embolization; white arrow, perfusion of the liver through gastroduodenal artery). Reprinted by permission of Mayo Foundation for Medical Education and Research. All rights reserved. Journal of Vascular Surgery 2015 62, 610-615DOI: (10.1016/j.jvs.2015.03.077) Copyright © 2015 Society for Vascular Surgery Terms and Conditions