PMC10333477_01
(A) Angiography showing the hepatic pseudoaneurysm; arrowheads point to pseudoaneurysm (case 1). (B) Angiography post coiling and stenting of the hepatic pseudoaneurysm; arrows point to the stent (case 1). (C) Post-LT selective angiography revealing an extrahepatic pseudoaneurysm with a preserved arterialization of the liver allograft (case 2). (D) Intraoperative view showing status after excision of the pseudoaneurysm and vascular reconstruction using a free iliac interposition graft between common hepatic and hepatic artery (case 3). (E) Angiography after repair of the hepatic artery pseudoaneurysm; arrows point to the proximal and distal anastomosis (case 3).
fsurg-10-1169556-g001.jpg
PMC10333477_03_fsurg-10-1169556-g001.jpg
F1
The aneurysm was resected and the allograft re-arterialized using a 3 cm iliac arterial interposition graft from the same donor restoring continuity between the proper hepatic artery and common hepatic artery (Figure 1D). Clostridium difficile infection was treated with a 10-day course of oral vancomycin. Control angio-CT showed patent intra- and extrahepatic arterial vasculature (Figure 1E).
PMC10333477_02
(A) Angiography showing the hepatic pseudoaneurysm; arrowheads point to pseudoaneurysm (case 1). (B) Angiography post coiling and stenting of the hepatic pseudoaneurysm; arrows point to the stent (case 1). (C) Post-LT selective angiography revealing an extrahepatic pseudoaneurysm with a preserved arterialization of the liver allograft (case 2). (D) Intraoperative view showing status after excision of the pseudoaneurysm and vascular reconstruction using a free iliac interposition graft between common hepatic and hepatic artery (case 3). (E) Angiography after repair of the hepatic artery pseudoaneurysm; arrows point to the proximal and distal anastomosis (case 3).
fsurg-10-1169556-g001.jpg
PMC10333477_03_fsurg-10-1169556-g001.jpg
F1
The aneurysm was resected and the allograft re-arterialized using a 3 cm iliac arterial interposition graft from the same donor restoring continuity between the proper hepatic artery and common hepatic artery (Figure 1D). Clostridium difficile infection was treated with a 10-day course of oral vancomycin. Control angio-CT showed patent intra- and extrahepatic arterial vasculature (Figure 1E).
Arterial reconstruction as described in case 2.
fsurg-10-1169556-g002.jpg
PMC10333477_02_fsurg-10-1169556-g002.jpg
F2
The splenic artery and common hepatic artery were anastomosed to the right and left hepatic arteries of the allograft, respectively, and the celiac artery was anastomosed to the recipients' common hepatic artery (Figure 2).
PMC10333477_03
(A) Angiography showing the hepatic pseudoaneurysm; arrowheads point to pseudoaneurysm (case 1). (B) Angiography post coiling and stenting of the hepatic pseudoaneurysm; arrows point to the stent (case 1). (C) Post-LT selective angiography revealing an extrahepatic pseudoaneurysm with a preserved arterialization of the liver allograft (case 2). (D) Intraoperative view showing status after excision of the pseudoaneurysm and vascular reconstruction using a free iliac interposition graft between common hepatic and hepatic artery (case 3). (E) Angiography after repair of the hepatic artery pseudoaneurysm; arrows point to the proximal and distal anastomosis (case 3).
fsurg-10-1169556-g001.jpg
PMC10333477_03_fsurg-10-1169556-g001.jpg
F1
The aneurysm was resected and the allograft re-arterialized using a 3 cm iliac arterial interposition graft from the same donor restoring continuity between the proper hepatic artery and common hepatic artery (Figure 1D). Clostridium difficile infection was treated with a 10-day course of oral vancomycin. Control angio-CT showed patent intra- and extrahepatic arterial vasculature (Figure 1E).