Korean J Radiol.  2015 Aug;16(4):953-954. 10.3348/kjr.2015.16.4.953.

Giant Hepatic Artery Aneurysm Associated with Immunoglobulin G4-Related Disease Successfully Treated Using a Liquid Embolic Agent

Affiliations
  • 1Department of Interventional Radiology, Faculty of Medicine and Psychology "Sapienza", St. Andrea Hospital, Rome 00189, Italy.
  • 2Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and Psychology "Sapienza", St. Andrea Hospital, Rome 00189, Italy. aresedo1992@yahoo.it
  • 3Department of Nephrology, Faculty of Medicine and Psychology "Sapienza", St. Andrea Hospital, Rome 00189, Italy.

Abstract

No abstract available.

Keyword

Visceral aneurysm; Giant hepatic artery aneurysm; Liquid embolic agent; Onyx; IgG4-related disease; Amplatzer Vascular Plug-AVP

Figure

  • Fig. 1 Computed tomography angiography: volume rendering reconstruction showing 10 × 4 cm giant aneurysm involving common, proper, right and left hepatic arteries, with short proximal neck at origin from celiac trunk.

  • Fig. 2 Celiac trunk angiography showing complete exclusion of giant hepatic artery aneurysm. Liquid agent (Onyx) used for embolization is evident at origin of right hepatic, left hepatic, and gastroduodenal arteries. Red arrow indicates Amplatzer vascular plug occluding proximal neck of aneurysm.


Reference

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2. Rebonato A, Rossi M, Rebonato S, Cagini L, Scialpi M. Giant hepatic artery aneurysm: a fatal evolution. J Emerg Med. 2013; 45:e217–e219.
3. Cavalcante RN, Couto VA, da Fonsecaa AV, de Miranda RB, Costa AJ, Correa JA. Endovascular treatment of a giant hepatic artery aneurysm with Amplatzer vascular plug. J Vasc Surg. 2014; 60:500–502.
4. Rossi M, Rebonato A, Citone M, La Torre M, David V. Common hepatic artery aneurysm successfully treated with a celiac axis stent graft. Two years of follow up. Eur J Radiol Extra. 2010; 75:e125–e128.
5. Rossi M, Rebonato A, Greco L, Citone M, David V. Endovascular exclusion of visceral artery aneurysms with stent-grafts: technique and long-term follow-up. Cardiovasc Intervent Radiol. 2008; 31:36–42.
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