Abstract
Hepatic artery aneurysm account for about 20% of all splanchnic artery aneurysms, and is a comparatively rare disease. We experienced three patients with hepatic artery aneurysms, and successfully treated each patient differently. Here, we describe these cases and review the relevant literature.
The first patient exhibited stenosis at the origin of the celiac artery, with the celiac artery forming a spindle-shaped aneurysm that involved the common hepatic artery and splenic artery. Following ligation of the celiac artery and left gastric artery with excision of the aneurysm, anastomosis of the common hepatic artery and splenic artery was performed. In the second patient, transcatheter arterial (coil) embolization (TAE) was performed to treat the rupture of a left hepatic artery aneurysm. The proximal and distal portions of the aneurysm were coiled to stop blood flow (isolation). In the third patient, TAE was performed to treat a right hepatic artery aneurysm, and coils were placed within the aneurysm to stop blood flow (packing). Postoperative outcomes of all 3 patients were good. We believe that the appropriate choice of the surgical procedure and endovascular treatment and consideration of anatomic localization is essential for a good outcome in patients with hepatic artery aneurysms.
