Endovascular treatment of a giant aneurysm of the proper hepatic artery: A case report

Area of Science:

• Vascular Surgery
• Interventional Radiology
• Abdominal Imaging

Background:

• Hepatic artery aneurysms (HAAs) are uncommon visceral arterial aneurysms.
• Nontraumatic HAAs are often asymptomatic and incidentally found.
• HAAs carry a risk of rupture and potentially fatal hemorrhage.

Observation:

• A 65-year-old male presented with an asymptomatic saccular aneurysm of the proper hepatic artery.
• Diagnosis was incidental via computed tomography (CT) scan.
• Subsequent imaging confirmed the aneurysm without signs of rupture.

Findings:

• The patient successfully underwent endovascular repair using a covered stent.
• The procedure was performed under local anesthesia.
• This minimally invasive approach managed the complex vascular pathology.

Implications:

• Interventional radiology offers effective minimally invasive solutions for hepatic artery aneurysms.
• Endovascular repair is a viable option for asymptomatic HAAs.
• Early diagnosis and intervention can prevent life-threatening complications.