Common hepatic artery aneurysm successfully treated with a celiac axis stent graft. Two years of follow up

Abstract

Purpose To present a case of partially thrombosed 5 cm wide aneurysm of the origin of common hepatic artery with occlusion of common hepatic artery distal to the aneurysm and proper hepatic artery revascularized by gastroduodenal and superior mesenteric arteries. Case report After a preliminary 3D rotational angiography evaluation a stent graft was deployed in the celiac axis to exclude the common hepatic artery and the aneurysm taking the advantage of developed complete collateral liver blood supply. Two year CT follow up showed stent patency without clinical and radiological evidence of visceral ischemic damage. Clinical and technical considerations are discussed. Conclusions The positive mid-term outcome confirms the efficacy of endovascular exclusion with stent graft, in the treatment of hepatic artery aneurysm in selected cases.