Large Hepatic Artery Pseudoaneurysm Resection After Orthotopic Liver Transplantation

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216208:11110/19:10399920 RIV/00216208:11130/19:10399920

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

Large Hepatic Artery Pseudoaneurysm Resection After Orthotopic Liver Transplantation

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

Large Hepatic Artery Pseudoaneurysm Resection After Orthotopic Liver Transplantation

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30213 - Transplantation

Projekt

—

Návaznosti

N - Vyzkumna aktivita podporovana z neverejnych zdroju

Rok uplatnění

2019

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

American journal of case reports

ISSN

1941-5923

e-ISSN

—

Svazek periodika

20

Číslo periodika v rámci svazku

October 30

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

4

Strana od-do

1592-1595

Kód UT WoS článku

000493531800001

EID výsledku v databázi Scopus

2-s2.0-85074281524