Endovascular treatment of an asymptomatic hepatic artery aneurism: case report

Endovascular treatment of an asymptomatic hepatic artery aneurism: case report

We report a case of an asymptomatic, 77-year-old, male patient with arterial hypertension and no other comorbidities or risk factors for coronary disease. During a routine abdominal ultrasound examination, he was diagnosed with a hepatic vascular mass with an approximate diameter of 5 cm. Abdominal...

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Veröffentlicht in:Jornal vascular brasileiro 2021-01, Vol.20
Hauptverfasser: O’Connell, João Lucas, Faria, Lucas Antônio Oliveira, de Souza, Marcela Gomes, Meneses, Gabriel Alves, Carrijo, Alice Mirane Malta
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container_title Jornal vascular brasileiro
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creator O’Connell, João Lucas
Faria, Lucas Antônio Oliveira
de Souza, Marcela Gomes
Meneses, Gabriel Alves
Carrijo, Alice Mirane Malta
description We report a case of an asymptomatic, 77-year-old, male patient with arterial hypertension and no other comorbidities or risk factors for coronary disease. During a routine abdominal ultrasound examination, he was diagnosed with a hepatic vascular mass with an approximate diameter of 5 cm. Abdominal computed angiotomography was requested, showing an aneurysm of the hepatic artery, with maximum diameter of up to 5.2 cm, longest longitudinal axis of 7.2 cm, and a maximum true lumen caliber of 3.0 cm. We opted for endovascular aneurysm repair with implantation of three sequential Lifestream covered vascular stents (7x58mm, 8x58mm, and 8x37mm), successfully diverting the flow through the stents and excluding the aneurysm. The patient remains asymptomatic and free from clinical complications 2 years after the procedure. Control examinations with arterial duplex ultrasound 6 and 12 months after the procedure showed good flow through the stents with no leakage into the aneurysmal sac.
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title Endovascular treatment of an asymptomatic hepatic artery aneurism: case report
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