Right Gastroepiploic Artery Transposition for a Common Hepatic Artery and Proper Hepatic Artery Aneurysm Repair

Although hepatic artery aneurysms (HAAs) are uncommon, they are associated with risk of rupture. HAAs >2 cm in diameter require endovascular or open surgical repairs. For HAAs involving the proper hepatic artery or gastroduodenal artery, which is a collateral artery from the superior mesenteric artery, hepatic arterial reconstruction is especially important to avoid ischemic liver injury. In this study, right gastroepiploic artery transposition was performed in a 53-year-old man after a 4 cm common hepatic artery and proper hepatic artery aneurysm was identified. The patient was discharged without any complications on postoperative day 8.

[1]  S. Hashimoto,et al.  Splenic artery transposition for reconstruction of a large hepatic artery aneurysm: A case report and literature review , 2022, International journal of surgery case reports.

[2]  John J. Kanitra,et al.  Management of a common and proper hepatic artery aneurysm , 2021, Journal of vascular surgery cases and innovative techniques.

[3]  V. Kashyap,et al.  The Society for Vascular Surgery clinical practice guidelines on the management of visceral aneurysms. , 2020, Journal of vascular surgery.

[4]  A. Ballabio,et al.  Splenic Artery Transposition Graft for Hepatic Artery Aneurysm and Occlusion. , 2017, Annals of vascular surgery.

[5]  P. Gloviczki,et al.  Operative management of hepatic artery aneurysms. , 2015, Journal of vascular surgery.

[6]  T. Nishibe,et al.  Surgical treatment of a dissecting aneurysm of the proper hepatic artery: report of a case. , 2013, Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia.

[7]  T. Kosuge,et al.  Hepatic artery reconstruction following ablative surgery for hepatobiliary and pancreatic malignancies. , 2012, European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology.

[8]  H. Sasaki.  The Right Gastroepiploic Artery in Coronary Artery Bypass Grafting , 2008, Journal of cardiac surgery.

[9]  T. Kadohama,et al.  Hepatic artery aneurysm involving the proper hepatic and gastroduodenal artery treated using a gastroepiploic artery in situ bypass. , 2007, Journal of vascular surgery.

[10]  P. Kamath,et al.  For Personal Use. Mass Reproduce Only with Permission from Mayo Clinic Proceedings. for Personal Use. Mass Reproduce Only with Permission from Mayo Clinic Proceedings. Review Splanchnic Artery Aneurysms , 2022 .

[11]  P. Pairolero,et al.  Hepatic artery aneurysms: evaluation and current management. , 1993, International angiology : a journal of the International Union of Angiology.