Open surgical resection of giant common hepatic artery aneurysm after failed endovascular repair
Abstract
Hepatic artery aneurysms represent 20% of visceral artery aneurysms and carry a high risk of fatal outcomes. We describe an 8.6-cm common hepatic artery aneurysm previously treated with endovascular stenting and coiling that progressively enlarged and was complicated by endoleak and mural thrombus. Open partial resection was performed without reconstruction, and the patient made a full recovery with no recurrence at the 2-year follow-up. This case underscores the therapeutic challenges in treating giant aneurysms and highlights the importance of assessing collateral circulation when considering an aneurysmectomy.
Fields of Study & Subjects
Abdominal vascular conditions and treatments
Aortic aneurysm repair treatments
Intracranial Aneurysms: Treatment and Complications
Publication details
- Journal / source
- Journal of Vascular Surgery Cases and Innovative Techniques
- Volume
- 12
- Issue
- 3
- Pages
- 102183–102183
- Publication date
- 12 February 2026
- Language
- EN