Hepatic artery aneurysms: The management of 22 patients

Alan B. Lumsden, Samer G. Mattar, Robert C. Allen, Emile A. Bacha

Research output: Contribution to journalArticle

69 Citations (Scopus)

Abstract

Hepatic artery aneurysms (HAAs) are being encountered with increasing frequency. A retrospective study of the management of HAAs at a single institution over an 18-year period is presented. The medical records of all patients diagnosed with HAA were reviewed. There were 22 patients who collectively had 23 HAAs. They were of equal gender distribution with a mean age of 53 ± 16 years. Sixteen patients were symptomatic. Angiography was definitive in all cases and was necessary for determining therapy. There were 16 true aneurysms and 7 pseudoaneurysms. The method of treatment depended on the anatomic location of the aneurysm and the status of the patient. Treatment was by surgery (n = 10 patients), embolization (n = 8 patients), or by observation (n = 3 patients). There were two acute deaths; one patient died on admission without therapy, and one patient died following surgery. Two patients had surgical complications. Three of seven patients required repeat embolization, and one had open surgery after failed embolization. Three patients died of unrelated causes. The follow-up period was 2 months to 8 years. Thus, early HAA mortality and morbidity rates were 9.1 and 22.7%, respectively. Unless precluded by significant comorbidities, active treatment is advocated in the management of patients with HAA. Surgery is the preferred treatment for extrahepatic lesions, while embolization is appropriate for intrahepatic aneurysms, the majority of which are pseudoaneurysms. Increased clinical awareness and aggressive, definitive management are necessary in obtaining optimal outcomes.

Original languageEnglish (US)
Pages (from-to)345-350
Number of pages6
JournalJournal of Surgical Research
Volume60
Issue number2
DOIs
StatePublished - Feb 1 1996
Externally publishedYes

Fingerprint

Hepatic Artery
Aneurysm
False Aneurysm
Therapeutics
Medical Records
Comorbidity
Angiography
Retrospective Studies

ASJC Scopus subject areas

  • Surgery

Cite this

Lumsden, A. B., Mattar, S. G., Allen, R. C., & Bacha, E. A. (1996). Hepatic artery aneurysms: The management of 22 patients. Journal of Surgical Research, 60(2), 345-350. https://doi.org/10.1006/jsre.1996.0055

Hepatic artery aneurysms : The management of 22 patients. / Lumsden, Alan B.; Mattar, Samer G.; Allen, Robert C.; Bacha, Emile A.

In: Journal of Surgical Research, Vol. 60, No. 2, 01.02.1996, p. 345-350.

Research output: Contribution to journalArticle

Lumsden, AB, Mattar, SG, Allen, RC & Bacha, EA 1996, 'Hepatic artery aneurysms: The management of 22 patients', Journal of Surgical Research, vol. 60, no. 2, pp. 345-350. https://doi.org/10.1006/jsre.1996.0055
Lumsden, Alan B. ; Mattar, Samer G. ; Allen, Robert C. ; Bacha, Emile A. / Hepatic artery aneurysms : The management of 22 patients. In: Journal of Surgical Research. 1996 ; Vol. 60, No. 2. pp. 345-350.
@article{5005158b442548509d9ea1b591d628e2,
title = "Hepatic artery aneurysms: The management of 22 patients",
abstract = "Hepatic artery aneurysms (HAAs) are being encountered with increasing frequency. A retrospective study of the management of HAAs at a single institution over an 18-year period is presented. The medical records of all patients diagnosed with HAA were reviewed. There were 22 patients who collectively had 23 HAAs. They were of equal gender distribution with a mean age of 53 ± 16 years. Sixteen patients were symptomatic. Angiography was definitive in all cases and was necessary for determining therapy. There were 16 true aneurysms and 7 pseudoaneurysms. The method of treatment depended on the anatomic location of the aneurysm and the status of the patient. Treatment was by surgery (n = 10 patients), embolization (n = 8 patients), or by observation (n = 3 patients). There were two acute deaths; one patient died on admission without therapy, and one patient died following surgery. Two patients had surgical complications. Three of seven patients required repeat embolization, and one had open surgery after failed embolization. Three patients died of unrelated causes. The follow-up period was 2 months to 8 years. Thus, early HAA mortality and morbidity rates were 9.1 and 22.7{\%}, respectively. Unless precluded by significant comorbidities, active treatment is advocated in the management of patients with HAA. Surgery is the preferred treatment for extrahepatic lesions, while embolization is appropriate for intrahepatic aneurysms, the majority of which are pseudoaneurysms. Increased clinical awareness and aggressive, definitive management are necessary in obtaining optimal outcomes.",
author = "Lumsden, {Alan B.} and Mattar, {Samer G.} and Allen, {Robert C.} and Bacha, {Emile A.}",
year = "1996",
month = "2",
day = "1",
doi = "10.1006/jsre.1996.0055",
language = "English (US)",
volume = "60",
pages = "345--350",
journal = "Journal of Surgical Research",
issn = "0022-4804",
publisher = "Academic Press Inc.",
number = "2",

}

TY - JOUR

T1 - Hepatic artery aneurysms

T2 - The management of 22 patients

AU - Lumsden, Alan B.

AU - Mattar, Samer G.

AU - Allen, Robert C.

AU - Bacha, Emile A.

PY - 1996/2/1

Y1 - 1996/2/1

N2 - Hepatic artery aneurysms (HAAs) are being encountered with increasing frequency. A retrospective study of the management of HAAs at a single institution over an 18-year period is presented. The medical records of all patients diagnosed with HAA were reviewed. There were 22 patients who collectively had 23 HAAs. They were of equal gender distribution with a mean age of 53 ± 16 years. Sixteen patients were symptomatic. Angiography was definitive in all cases and was necessary for determining therapy. There were 16 true aneurysms and 7 pseudoaneurysms. The method of treatment depended on the anatomic location of the aneurysm and the status of the patient. Treatment was by surgery (n = 10 patients), embolization (n = 8 patients), or by observation (n = 3 patients). There were two acute deaths; one patient died on admission without therapy, and one patient died following surgery. Two patients had surgical complications. Three of seven patients required repeat embolization, and one had open surgery after failed embolization. Three patients died of unrelated causes. The follow-up period was 2 months to 8 years. Thus, early HAA mortality and morbidity rates were 9.1 and 22.7%, respectively. Unless precluded by significant comorbidities, active treatment is advocated in the management of patients with HAA. Surgery is the preferred treatment for extrahepatic lesions, while embolization is appropriate for intrahepatic aneurysms, the majority of which are pseudoaneurysms. Increased clinical awareness and aggressive, definitive management are necessary in obtaining optimal outcomes.

AB - Hepatic artery aneurysms (HAAs) are being encountered with increasing frequency. A retrospective study of the management of HAAs at a single institution over an 18-year period is presented. The medical records of all patients diagnosed with HAA were reviewed. There were 22 patients who collectively had 23 HAAs. They were of equal gender distribution with a mean age of 53 ± 16 years. Sixteen patients were symptomatic. Angiography was definitive in all cases and was necessary for determining therapy. There were 16 true aneurysms and 7 pseudoaneurysms. The method of treatment depended on the anatomic location of the aneurysm and the status of the patient. Treatment was by surgery (n = 10 patients), embolization (n = 8 patients), or by observation (n = 3 patients). There were two acute deaths; one patient died on admission without therapy, and one patient died following surgery. Two patients had surgical complications. Three of seven patients required repeat embolization, and one had open surgery after failed embolization. Three patients died of unrelated causes. The follow-up period was 2 months to 8 years. Thus, early HAA mortality and morbidity rates were 9.1 and 22.7%, respectively. Unless precluded by significant comorbidities, active treatment is advocated in the management of patients with HAA. Surgery is the preferred treatment for extrahepatic lesions, while embolization is appropriate for intrahepatic aneurysms, the majority of which are pseudoaneurysms. Increased clinical awareness and aggressive, definitive management are necessary in obtaining optimal outcomes.

UR - http://www.scopus.com/inward/record.url?scp=0030047558&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030047558&partnerID=8YFLogxK

U2 - 10.1006/jsre.1996.0055

DO - 10.1006/jsre.1996.0055

M3 - Article

C2 - 8598666

AN - SCOPUS:0030047558

VL - 60

SP - 345

EP - 350

JO - Journal of Surgical Research

JF - Journal of Surgical Research

SN - 0022-4804

IS - 2

ER -