Yıl: 2013 Cilt: 22 Sayı: 1 Sayfa Aralığı: 45 - 47 Metin Dili: Türkçe

Surgical repair of a hepatic artery aneurysm: A rare case

Öz:
Hepatik arter anevrizmaları(HAA) intraabdominal organ anevrizmaların yaklaşık %20sinden 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 cmlik safen ven interpoze edilerek uç-yan anastomoze edildi. Hasta post operatif 8. gün şifa ile taburcu edildi.
Anahtar Kelime:

Report hepatik arter anevrizmasının cerrahi tamiri: Nadir bir olgu sunumu

Öz:
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.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • Halaby H, Al-Mehaidib A, Al-Otaibi L, Al-Nassar S, Rossi L. Ruptured hepatic artery aneurysm in a child. Ann Saudi Med 2000; 20(5-6):427-9.
  • Türkvatan A, Ökten RS, Kelahmet E, Özdemir E, Ölçer T. Hepatic artery aneurysm: imaging findings. Journal of Ankara University Faculty of Medicine 2005;58(2):73-5.
  • Laganà D, Carrafiello G, Mangini M, Dionigi G, Caronno R, Castelli P, et al. Multimodal approach to endovascular treatment of visceral artery aneurysms and pseudoaneurysms. Eur J Radiol 2006;59(1):104-11.
  • Bachar GN. Belenky A. Lubovsky L, NeumanLevine M. Sonographic diagnosis of a giant aneurysm of the common hepatic artery. J Clin Ultrasound 2002;30(5):300-2.
  • O'Driscoll D, Olliff SP, Olliff JF. Hepatic artery aneurysm. Br J Radiol 1999;72(862):1018-25.
  • Shanley CJ, Shah NL, Messina LM. Common splanchnic artery aneurysms: splenic, hepatic, and celiac. Ann Vasc Surg 1996;10(3):315-22.
  • Arneson MA, Smith RS. Ruptured hepatic artery aneurysm: case report and review of literature. Ann Vasc Surg 2005;19(4):540-5.
  • Schroeyers P, Lismonde M, Vermonden J, Six C. Management of hepatic artery aneurysm. Case report and literature review. Acta Chir Belg 1995;95(2):89-91.
  • Thomas DE, Leon LM. Hepatic artery aneurysm rupture: case report, imaging findings, and literature review. S D J Med 1998;51(11):413-6.
  • Pasha SF, Gloviczki P, Stanson AW, Kamath PS. Splanchnic artery aneurysms. Mayo Clin Proc 2007;82(4):472-9.
  • Gupta S, Cope V. Hepatic artery aneurysm as a cause of gastrointestinal blood loss. Br J Radiol 1972;45(538):726-8.
  • Sutton D, Lawton G. Angiographic diagnosis of aneurysms involving the hepatic artery. Clin Radiol 1973;24(1):43-8.
  • Man CB, Behranwala KA, Lennox MS. Ruptured hepatic artery aneurysm presenting as abdominal pain: a case report. Cases J 2009;2:8529.
  • Reidy JF, Rowe PH, Ellis FG. Splenic artery aneurysm embolisation-the preferred technique to surgery. Clin Radiol 1990;41(4):2812.
  • Dougherty MJ, Calligaro KD. Visceral artery aneurysms. In: Ascher E, ed. Haimovici’s Vascular Surgery. USA: Blackwell Publishing; 2004. p.902-12.
APA ERDEM K, BUĞRA O, DAĞISTAN E, BOZOĞLAN O, TEKELİOĞLU Ü, DAĞLAR B, AKKAYA A (2013). Surgical repair of a hepatic artery aneurysm: A rare case. Damar Cerrahi Dergisi, 22(1), 45 - 47.
Chicago ERDEM Kemalettin,BUĞRA Onursal,DAĞISTAN Emine,BOZOĞLAN ORHAN,TEKELİOĞLU Ümit Yaşar,DAĞLAR Bahadır,AKKAYA Akcan Surgical repair of a hepatic artery aneurysm: A rare case. Damar Cerrahi Dergisi 22, no.1 (2013): 45 - 47.
MLA ERDEM Kemalettin,BUĞRA Onursal,DAĞISTAN Emine,BOZOĞLAN ORHAN,TEKELİOĞLU Ümit Yaşar,DAĞLAR Bahadır,AKKAYA Akcan Surgical repair of a hepatic artery aneurysm: A rare case. Damar Cerrahi Dergisi, vol.22, no.1, 2013, ss.45 - 47.
AMA ERDEM K,BUĞRA O,DAĞISTAN E,BOZOĞLAN O,TEKELİOĞLU Ü,DAĞLAR B,AKKAYA A Surgical repair of a hepatic artery aneurysm: A rare case. Damar Cerrahi Dergisi. 2013; 22(1): 45 - 47.
Vancouver ERDEM K,BUĞRA O,DAĞISTAN E,BOZOĞLAN O,TEKELİOĞLU Ü,DAĞLAR B,AKKAYA A Surgical repair of a hepatic artery aneurysm: A rare case. Damar Cerrahi Dergisi. 2013; 22(1): 45 - 47.
IEEE ERDEM K,BUĞRA O,DAĞISTAN E,BOZOĞLAN O,TEKELİOĞLU Ü,DAĞLAR B,AKKAYA A "Surgical repair of a hepatic artery aneurysm: A rare case." Damar Cerrahi Dergisi, 22, ss.45 - 47, 2013.