Successful management of hepatic artery pseudoaneurysm complicating chronic pancreatitis by stenting |
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Authors: | Singh Cynthia Sudar Giri Kamini Gupta Renuka Aladdin Mohammed Sawhney Harinder |
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Institution: | Department of Medicine, Wyckoff Heights Medical Center, Brooklyn, New York, United States |
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Abstract: | A 41-year old alchoholic male with a history of chronic pancreatitis was admitted for nausea, vomiting and weight loss. Angiogram was performed and demonstrated an aneurysmal sac with a narrow neck originating from the inferior aspect of the distal portion of the proper hepatic artery. The origin of the pseudoaneurysm was covered with a 5 mm multiply 2.5 cm Viabahn cover stent (Gore). A repeat angiogram showed some leak and a second stent (6 mm multiply 2.3 cm) was deployed and overlapped with the first stent by 3 mm. Contrast was injected and a repeat angiogram demonstrated complete exclusion of the aneurysm. A repeat computerized axial tomography (CAT) scan of the abdomen after 24 h showed successful stenting. The patient had an uneventful post-operative course. |
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Keywords: | Hepatic artery Aneurysm Stents |
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