An Unusual Complication of Aortic Dissection

Hepatic artery aneursyms are rare and are often caused by trauma and following surgical and radiological procedures. We report the imaging findings and management of a case of hepatic artery pseudo aneurysm (HAPA) secondary to extending aortic dissection, presenting with hemobilia and obstructive ja...

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Bibliographic Details
Published in:European journal of vascular and endovascular surgery extra 2007-12, Vol.14 (6), p.59-61
Main Authors: Rajinikanth, J, ShyamKumar, N.K, Edwin, S, Aparna, I, Thomas, M, Narayanam, R.S.S, Agarwal, S
Format: Article
Language:English
Subjects:
Aneurysm, Dissecting
Aorta, Abdominal
Embolization, Therapeutic
Hemobilia, Hepatic Artery
Surgery
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Summary:Hepatic artery aneursyms are rare and are often caused by trauma and following surgical and radiological procedures. We report the imaging findings and management of a case of hepatic artery pseudo aneurysm (HAPA) secondary to extending aortic dissection, presenting with hemobilia and obstructive jaundice HAPA carries high mortality, when it ruptures into the bile duct presenting as hemobilia. When this happens due to dissection of aorta, management becomes challenging. In our patient, HAPA was successfully managed by trans-catheter embolisation of both proximal and distal arteries.
ISSN:1533-3167
1533-3167
DOI:10.1016/j.ejvsextra.2007.09.003