PMC7519242_01
Ruptured hepatic artery aneurysm.
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CT angiogram highlighted a ruptured hepatic artery aneurysm (aneurysm of the common hepatic artery with conventional hepatic artery anatomy) with active extravasation indicative of intra-abdominal haemorrhage (Fig. 1).
Covered stents extending from origin of coeliac trunk in to the splenic artery (excluding flow in to hepatic artery aneurysm).
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Endovascular aneurysm repair (EVAR) via covered stents from the coeliac axis in to the splenic artery with exclusion of flow in to the common hepatic artery aneurysm was deemed the most appropriate as a first line management strategy (Fig. 2).
Follow-up imaging at 36 months with ongoing reduction in size of aneurysm with nil vascularity.
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Follow-up identified complete resolution of symptomatology related to aneurysm rupture while serial imaging highlighted exclusion of the aneurysm over a 36-month period with ongoing reduction in size (Fig. 3).