PMC3502830_01
(a) Intraluminal photograph of the PHA pseudoaneurysm (dissected open) after endarterectomy. (b) Photograph of reconstructed PHA. Patency was confirmed by intraoperative Doppler U/S.
CRIM.SURGERY2012-804919.001.jpg
PMC3502830_01_CRIM.SURGERY2012-804919.001.jpg
fig1
A CT scan was performed which revealed a pseudoaneurysm that appeared to arise from either the gastroduodenal (GDA) or the proper hepatic artery (PHA) measuring 3.1 x 2.5 cm (Figures 1(a), 2(a), and 2(b)). Intraoperative Doppler ultrasound showed a normal triphasic signal in the anastomosis (Figure 1(b)).
((a), (b)) Coronal CT scan depicting PHA aneurysm extending from the origin of the GDA to the bifurcation of the RHA and LHA. (c) Three dimensional CT reconstruction showing anastomosis between remaining PHA and RHA. (d) Enlarged view of coronal CT scan after anastomosis was completed.
CRIM.SURGERY2012-804919.002.jpg
PMC3502830_01_CRIM.SURGERY2012-804919.002.jpg
fig2
A CT scan was performed which revealed a pseudoaneurysm that appeared to arise from either the gastroduodenal (GDA) or the proper hepatic artery (PHA) measuring 3.1 x 2.5 cm (Figures 1(a), 2(a), and 2(b)). Post-operative Doppler and CT scan confirmed patency of the reconstruction (Figures 2(c), 2(d)) and adequate perfusion of the liver with only a portion of segment IV showing signs of ischemia. 