SURGICAL-TREATMENT OF A HUGE HEPATIC-ARTERY ANEURYSM - A CASE-REPORT

被引：7
作者：
NYUI, S
INOUE, S
SATO, T
NAKASE, A
机构：
[1] The Department of Cardiovascular Surgery, Sapporo City General Hospital, Sapporo, 060, North 1 West 9, Chuo-ku
来源：
JAPANESE JOURNAL OF SURGERY | 1991年 / 21卷 / 03期
关键词：
HEPATIC ARTERY ANEURYSM; SELECTIVE ANGIOGRAPHY; IMPENDING RUPTURE; SURGICAL TREATMENT;
D O I：
10.1007/BF02470958
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
A debilitated 68 year old woman with an epigastric mass previously identified as a hepatic artery aneurysm (HAA) by selective angiography, developed acute epigastric pain radiating to her back. Impending rupture was diagnosed, and the patient successfully underwent surgical repair using a prosthetic patch to close the orifice of the aneurysm. HAA is uncommon, but the risk of rupture is great, being 44 per cent and the mortality rate high, being 35 per cent. Abnormal ultrasonography and CT may suggest the diagnosis, but selective arteriography is definitive. Surgical treatment is indicated in most patients, although embolization is appropriate for intrahepatic aneurysm and extremely poor risk patients.
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收藏
页码：344 / 347
页数：4
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