A case with hepatic artery aneurysm discovered after suffering from the infectious endocarditis

A 53-year-old man suffering from infectious endocarditis developed a rupture of the mitral valve tendinous cord. Consequently a mitral valvoplasty was performed. Forty days later, the patient presented with sudden and severe epigastralgia and hematemesis, and was rushed to our hospital. An arterial...

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Veröffentlicht in:Nippon Shokakibyo Gakkai Zasshi 2008, Vol.105(8), pp.1220-1225
Hauptverfasser: NISHIMURA, Mamoru, WATANABE, Shoko, WAKUTA, Akiko, KARIYAMA, Kazuya, TSUJI, Hideyuki, NANBA, Jiro, TOMIYAMA, Yoshihisa, HIGASHI, Toshihiro, HAISA, Minoru, MORI, Masanobu
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Sprache:jpn
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Zusammenfassung:A 53-year-old man suffering from infectious endocarditis developed a rupture of the mitral valve tendinous cord. Consequently a mitral valvoplasty was performed. Forty days later, the patient presented with sudden and severe epigastralgia and hematemesis, and was rushed to our hospital. An arterial phase of an abdominal contrast-enhanced CT showed a mass 3cm in diameter which was strongly enhanced along the side of the hepatic portal region and therefore it was thought to be an aneurysm. An abdominal angiography revealed an aneurysm of the right hepatic artery. As a result, an embolization with coils was perfomed. Nine months after treatment, CT examination of the abdomen revealed that the aneurysm had completely disappeared.
ISSN:0446-6586
1349-7693
DOI:10.11405/nisshoshi.105.1220