Endovascular treatment of a patient with an aneurysm of the proper hepatic artery and a duodenal fistula Merel Huisman, MD, Maurice A.A.J. van den Bosch,

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Presentation transcript:

Endovascular treatment of a patient with an aneurysm of the proper hepatic artery and a duodenal fistula Merel Huisman, MD, Maurice A.A.J. van den Bosch, MD, PhD, Erik Mooiweer, MD, I. Quintus Molenaar, MD, PhD, Joost A. van Herwaarden, MD, PhD Journal of Vascular Surgery Volume 53, Issue 3, Pages 814-817 (March 2011) DOI: 10.1016/j.jvs.2010.10.089 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 a, Preoperative computed tomography (CT) of the abdomen shows a large, partly thrombosed, hepatic artery aneurysm (arrow). Air bubbles in the aneurysmal sac indicate possible fistulization and contamination. b, CT-image just caudal to panel a shows the extent of the aneurysm, the arrow indicating the outer wall; iv-contrast is visible within the lumen. Journal of Vascular Surgery 2011 53, 814-817DOI: (10.1016/j.jvs.2010.10.089) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 Angiogram with the catheter positioned in the common hepatic artery shows the aneurysm of the proper hepatic artery. Journal of Vascular Surgery 2011 53, 814-817DOI: (10.1016/j.jvs.2010.10.089) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 3 a, A self-expanding bare metal stent was placed over the aneurysm orifice into the proper hepatic artery, the arrows indicating the outer margins of the stent. b, An angiogram after stent placement shows no flow in the hepatic artery aneurysm, and a patent gastroduodenal artery, right hepatic artery and left hepatic artery. Journal of Vascular Surgery 2011 53, 814-817DOI: (10.1016/j.jvs.2010.10.089) Copyright © 2011 Society for Vascular Surgery Terms and Conditions