Surgical treatment of a huge hepatic artery aneurysm--a case report.

S Nyui, S Inoue, T Sato, A Nakase
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引用次数: 6

Abstract

A debilitated 68 year old woman with an epigastric mass previously identified as a hepatic artery aneurysm (HAA) by selective angiography, developed acute epigastric pain radiating to her back. Impending rupture was diagnosed, and the patient successfully underwent surgical repair using a prosthetic patch to close the orifice of the aneurysm. HAA is uncommon, but the risk of rupture is great, being 44 per cent and the mortality rate high, being 35 per cent. Abnormal ultrasonography and CT may suggest the diagnosis, but selective arteriography is definitive. Surgical treatment is indicated in most patients, although embolization is appropriate for intrahepatic aneurysm and extremely poor risk patients.

巨大肝动脉瘤的外科治疗一例报告。
68岁衰弱女性,腹部肿块,经选择性血管造影诊断为肝动脉瘤(HAA),出现急性胃脘痛,并放射至背部。诊断出即将破裂,患者成功地接受了手术修复,使用假体贴片关闭动脉瘤口。HAA不常见,但破裂的风险很大,为44%,死亡率高,为35%。异常超声和CT可能提示诊断,但选择性动脉造影是明确的。手术治疗适用于大多数患者,但栓塞术适用于肝内动脉瘤和极低风险患者。
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