Surgical repair of a hepatic artery aneurysm: A rare case
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Dosyalar
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Hepatik arter anevrizmaları (HAA) intraabdominal organ anevrizmaların yaklaşık %20’sinden sorumludur. Batın içindeki organ anevrizmalarının çoğunluğu asemptomatiktir ve tesadüfen tespit edilir. Batın ultrasonografi sırasında tesadüfen HAA tespit edilen 54 yaşındaki kadın hasta kliniğimize kabul edildi. Çölyak arter anjiyografisinde ana hepatik arterden kaynaklanan 4x6 cm çapında HAA tespit edildi. Batın median kesi ile açıldı. Takiben 5000 IU sistemik heparinizasyon yapıldı ve proksimal, distal ve gastroduodenal arterler klemplendi. Anevrizma çıkarıldı, 6 cm uzunluğunda safen ven ile uç-uca anastomoz yapıldı. Gastroduodenal arter 2 cm’lik safen ven interpoze edilerek uç-yan anastomoze edildi. Hasta post operatif 8. gün şifa ile taburcu edildi.
Hepatic artery aneurysms (HAAs) account for approximately 20% of splanchnic artery aneurysms (SAAs). Most of the SAAs are generally asymptomatic and detected incidentally. Rupture of HAA is the first clinical manifestation in 80% of the cases. A 54-year-old female patient whose HAA was incidentally detected with abdominal ultrasonography two years ago, was referred to our clinic. Celiac artery angiography demonstrated a HAA in 4x6 cm diameters arising from the common hepatic artery. Abdominal wall opened through a median incision. After 5000 IU of systemic heparinization, proximal hepatic, distal hepatic and gastroduodenal arteries were clamped. Aneurysm was removed and saphenous vein interposition was performed by end-to-end anastomosis. Gastroduodenal artery end-to-side anastomosis was performed through the interposition of a 2 cm saphenous vein. The patient was discharged uneventfully on the postoperative eighth day.
Hepatic artery aneurysms (HAAs) account for approximately 20% of splanchnic artery aneurysms (SAAs). Most of the SAAs are generally asymptomatic and detected incidentally. Rupture of HAA is the first clinical manifestation in 80% of the cases. A 54-year-old female patient whose HAA was incidentally detected with abdominal ultrasonography two years ago, was referred to our clinic. Celiac artery angiography demonstrated a HAA in 4x6 cm diameters arising from the common hepatic artery. Abdominal wall opened through a median incision. After 5000 IU of systemic heparinization, proximal hepatic, distal hepatic and gastroduodenal arteries were clamped. Aneurysm was removed and saphenous vein interposition was performed by end-to-end anastomosis. Gastroduodenal artery end-to-side anastomosis was performed through the interposition of a 2 cm saphenous vein. The patient was discharged uneventfully on the postoperative eighth day.
Açıklama
Anahtar Kelimeler
Aneurysm, Splanchnic Circulation, Hepatic Artery Aneurysms, Anevrizma, Splankinik Dolaşım, Hepatik Arter Anevrizması
Kaynak
Damar Cerrahi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
22
Sayı
1
