One case of hepatosplenic artery aneurysm with hepato-splenomesenteric trunk and literature review

doi:10.3785/j.issn.1008-9292.2018.12.06

J Zhejiang Univ (Med Sci)

2018, Vol. 47

Issue (6): 601-605 DOI: 10.3785/j.issn.1008-9292.2018.12.06

One case of hepatosplenic artery aneurysm with hepato-splenomesenteric trunk and literature review

SHEN Yang(

),ZHANG Ruili,CHEN Guang,LI Fei,CHU Haiwei,HU Bin,ZHAO Wenjun*(

)

Department of Vascular Surgery, Taizhou Hospital of Zhejiang Province, Wenzhou Medical University, Taizhou 317000, Zhejiang Province, China

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Abstract

An asymptomatic 71-year-old woman was admitted to the hospital due to aneurysm of visceral artery. CT angiography revealed that she possessed a hepatosplenic artery aneurysm with hepatosplenomesenteric trunk anomaly. The aneurysm was big with diameter about 28 mm, and is very adjacent to the superior mensenteric artery. The neck of the aneurysm is wide (the diameter of the neck was 5.5-6.0 mm) and short (length of the proximal landing zone was about 2.0 mm). The patient received endovascular reconstruction of the hepatosplenic artery and coil embolization of the aneurysm, and got satisfactory result.

Key words： Aneurysm/surgery Endovascular treatment Case reports

Received: 14 August 2018 Published: 15 March 2019

CLC:

R654

Corresponding Authors: ZHAO Wenjun E-mail: shenyangaiss@163.com;tzzhaowj@163.com

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Cite this article:

SHEN Yang,ZHANG Ruili,CHEN Guang,LI Fei,CHU Haiwei,HU Bin,ZHAO Wenjun. One case of hepatosplenic artery aneurysm with hepato-splenomesenteric trunk and literature review. J Zhejiang Univ (Med Sci), 2018, 47(6): 601-605.

URL:

http://www.zjujournals.com/med/10.3785/j.issn.1008-9292.2018.12.06 OR http://www.zjujournals.com/med/Y2018/V47/I6/601

血管内治疗肝总-脾-肠系膜上动脉共干合并肝总-脾动脉干动脉瘤一例

一例无症状71岁女性患者因"体检发现内脏动脉瘤7 d"入院。胸腹主动脉CT血管造影提示肝总-脾动脉干真性动脉瘤合并肝总-脾-肠系膜上动脉共干畸形。患者肝总-脾动脉干真性动脉瘤瘤体大（直径约为28 mm）并紧贴肠系膜上动脉起始部，动脉瘤颈宽（直径为5.5~6.0 mm）且短（近端锚定区长度约为2.0 mm）。患者接受了肝总-脾动脉干血管内重建、动脉瘤弹簧圈栓塞、支架隔绝等血管内治疗后恢复良好。

关键词： 动脉瘤/外科学, 血管内治疗, 病例报告

Fig 1 CT angiography before endovascular treatment

Fig 2 Anatomic features of the hepatosplenic artery aneurysm

Fig 3 Endovascular treatment for hepatosplenic artery aneurysm with hepatosplenomesenteric trunk

Fig 4 CT angiography four months after endovascular treatment


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