Large Hepatic Artery Pseudoaneurysm Resection After Orthotopic Liver Transplantation
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F19%3A00078530" target="_blank" >RIV/00023001:_____/19:00078530 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11110/19:10399920 RIV/00216208:11130/19:10399920
Result on the web
<a href="https://www.amjcaserep.com/download/index/idArt/917728" target="_blank" >https://www.amjcaserep.com/download/index/idArt/917728</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.12659/AJCR.917728" target="_blank" >10.12659/AJCR.917728</a>
Alternative languages
Result language
angličtina
Original language name
Large Hepatic Artery Pseudoaneurysm Resection After Orthotopic Liver Transplantation
Original language description
Patient: Female, 41 Final Diagnosis: Hepatiic artery aneurysm Symptoms: None Medication: Clinical Procedure: Specialty: Surgery Objective: Rare disease Background: Hepatic artery (HA) pseudoaneurysm (PSA) after liver transplantation (OLTx) is rare but often fatal complication requiring quick repair. Its prevalence in patients after OLTx is around 0.94%. Case Report: A 41-year-old female patient underwent a full-graft orthotopic liver transplantation (OLTx) for alcoholic liver cirrhosis in 2017. During regular postoperative Doppler ultrasonography (DU) check-ups, a large 3-cm pseudoaneurysm (PSA) was detected on the hepatic artery. The patient underwent a computed angiography (CTA) to verify the PSA anatomical localization and relationship with the transplanted liver graft. Selective celiac arteriography showed HA PSA and 90% stenosis of the hepatic artery after PSA. The stent graft placement was unsuccessful as the guiding wire was unable to pass through the post-PSA HA stenosis. The patient was scheduled for an open repair under general anesthesia. Through a right subcostal incision, the HA PSA was resected and the HA was mobilized and re-anastomosed using an end-to-end technique. Three months after the procedure, the patient has a good liver graft perfusion through the HA with no sign of PSA reoccurrence or stenosis. Conclusions: Early detection of the HA PSA after OLTx is a life-threatening complication requiring prompt treatment. If endovascular treatment options fail, open surgical repair, despite its challenges, is the only possible treatment option.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30213 - Transplantation
Result continuities
Project
—
Continuities
N - Vyzkumna aktivita podporovana z neverejnych zdroju
Others
Publication year
2019
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
American journal of case reports
ISSN
1941-5923
e-ISSN
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Volume of the periodical
20
Issue of the periodical within the volume
October 30
Country of publishing house
US - UNITED STATES
Number of pages
4
Pages from-to
1592-1595
UT code for WoS article
000493531800001
EID of the result in the Scopus database
2-s2.0-85074281524