Abstract:
:This report presents the case of a common hepatic artery (CHA) pseudoaneurysm secondary to postoperative pancreatic fistula (POPF) after pancreatoduodenectomy (PD), which was successfully treated using a coronary covered stent. A 70-year-old female underwent subtotal stomach-preserving PD for middle cholangiocarcinoma. POPF was identified on postoperative day (POD) 7, and the patient suddenly lost 500 ml of blood via the abdominal drain on POD 19. Urgent celiac arteriography revealed a CHA pseudoaneurysm. A coronary covered stent was placed to prevent rupture of the pseudoaneurysm and to maintain hepatic arterial flow, instead of performing transarterial embolization. No vascular adverse events were encountered during or after the procedure. Computed tomography and angiography showed a patent stent graft and good hepatic arterial flow 9 months after placement of the stent. Endovascular stent-graft placement not only treated the pseudoaneurysm, but also preserved the arterial blood flow. This report describes the placement of a covered stent graft for delayed hemorrhage after PD.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Asai K,Watanabe M,Kusachi S,Matsukiyo H,Saito T,Kodama H,Enomoto T,Nakamura Y,Okamoto Y,Saida Y,Iijima R,Nagao Jdoi
10.1007/s00595-012-0314-6subject
Has Abstractpub_date
2014-01-01 00:00:00pages
160-5issue
1eissn
0941-1291issn
1436-2813journal_volume
44pub_type
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