Hepatic artery aneurysms are uncommon visceral aneurysms that are usually found incidentally on imaging. We present a case of large common hepatic aneurysm presenting with life-threatening hematemesis due to duodenal erosion, in a 66-year-old man, treated by embolization with Onyx and coils while preserving hepatic perfusion.
DoughertyMJGloviczkiPCherryKJ. Hepatic artery aneurysm: evaluation and current management. Int Angiol. 1993;12(2):178–184.
5.
PapafragkouSHaimoviciLGonzalezEBarrettLCirincioneE. Hepatic artery aneurysm erosion into the stomach: an unusual cause of gastrointestinal bleeding. J Emerg Med. 2010;39(1):32–34.
HarlafitNNAkinJT. Haemobilia from ruptured hepatic artery aneurysm. Am J Surg. 1977;133(2):299–232.
8.
KawamotoKYamadaYUtsunomiyaT. Gastrointestinal submucosal tumors: evaluation with endoscopic US. Radiology. 1997;205(3):733–740.
9.
ParentBAChoSWBuckDGNalesnikMAGamblinTC. Spontaneous rupture of hepatic artery aneurysm associated with polyarteritis nodosa. Am Surg. 2010;76(12):1416–1419.
SachdevUBarilDTEllozySH. Management of aneurysms involving branches of the celiac and superior mesenteric arteries: a comparison of surgical and endovascular therapy. J Vasc Surg. 2006;44(4):718–724.
12.
TulsyanNKashyapVSGreenbergRK. The endovascular management of visceral artery aneurysms and pseudoaneurysms. J Vasc Surg. 2007;45(2):276–283.
13.
ReiterDAFischmanAMShyBD. Hepatic artery pseudoaneurysm rupture: a case report and review of the literature. J Emerg Med. 2013;44(1):100–103.
14.
ShuklaAJEidRFishL. Contemporary outcomes of intact and ruptured visceral artery aneurysms. J Vasc Surg. 2015;61(6):1442–1447. doi.org/10.1016/j.jvs.2015.01.005.
15.
FerreroEFerriMViazzoA. Visceral artery aneurysms, an experience on 32 cases in a single center: treatment from surgery to multilayer stent. Ann Vasc Surg. 2011;25(7):923–935.
16.
SessaCTinelliGPorcuPAubertAThonyFMagneJL. Treatment of visceral artery aneurysms: description of a retrospective series of 42 aneurysms in 34 patients. Ann Vasc Surg. 2004;18(6):695–703.