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Case Report
A common hepatic artery aneurysm at the extremes of size
1 Department of Vascular Surgery, St. Vincent’s Hospital Melbourne, Fitzroy, VIC, Australia
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Daniel Thompson
Vascular Registrar, St. Vincent’s Hospital Melbourne, Fitzroy, VIC,
Australia
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Article ID: 100073Z12DT2020
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Thompson D, Bookun R, Cerutti S, Peerbux M, Qi S, Lahham Y. A common hepatic artery aneurysm at the extremes of size. J Case Rep Images Surg 2020;6:100073Z12DT2020.ABSTRACT
Introduction: Visceral artery aneurysms are rare, but are associated with significant morbidity and mortality, especially in the case of rupture. Diagnosis is often incidental on abdominal imaging; however, uncertainty may exist about appropriate management and referral due to their relative infrequency. There are a number of operative approaches for repair that should be considered individually for each patient.
Case Report: We present the case of an 87-year-old man with an extremely large, symptomatic common hepatic artery aneurysm, found as part of an admission for unrelated cervical discitis. The aneurysm had previously been discovered on abdominal imaging, but referral to a vascular service was not made. Active medical conditions and poor renal function prevented open surgical repair or endovascular coiling, and the patient was managed conservatively, without further treatment.
Conclusion: Prompt referral to a vascular service is important in patients found to have visceral artery aneurysms, especially at the extremes of size. Visceral artery aneurysms can grow to be very large, and present significant risk for rupture, with associated morbidity and mortality.
Keywords: Aneurysm, Common hepatic artery aneurysm, Visceral artery aneurysm
SUPPORTING INFORMATION
Author Contributions
Daniel Thompson - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Riteesh Bookun - Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Sophie Cerutti - Interpretation of data, Drafting the article, Final approval of the version to be published
Muhammad Peerbux - Drafting the article, Final approval of the version to be published
Sara Qi - Substantial contributions to conception and design, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Yahya Lahham - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
AcknowledgmentsMr. Imam Bayat (MBBS, FRACS) was the initial treating surgeon of the patient.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Daniel Thompson et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
