Successful Treatment of Giant Common and Proper Hepatic Artery Aneurysm Complicating Autosomal Dominant Polycystic Kidney Disease

Michihisa Umetsu; Daijirou Akamatsu; Hitoshi Goto; Munetaka Hashimoto; Fukashi Serizawa; Yuta Tajima; Shinichiro Horii; Norinobu Ogasawara; Hirokazu Takahashi; Yohei Nagaoka; Takashi Kamei

doi:10.1016/j.avsg.2022.03.011

Successful Treatment of Giant Common and Proper Hepatic Artery Aneurysm Complicating Autosomal Dominant Polycystic Kidney Disease

Michihisa Umetsu, Daijirou Akamatsu, Hitoshi Goto, Munetaka Hashimoto, Fukashi Serizawa, Yuta Tajima, Shinichiro Horii, Norinobu Ogasawara, Hirokazu Takahashi, Yohei Nagaoka, Takashi Kamei

Research output: Contribution to journal › Article › peer-review

Abstract

Hepatic artery aneurysms (HAAs) complicating autosomal dominant polycystic kidney disease (ADPKD) are extremely rare. On account of the large number of renal cysts in ADPKD, ingenuity is required to safely perform surgery for HAA. Here, we present the case of a 60-year-old man with a common and proper HAA of >60 mm complicated with ADPKD. In this patient, difficulty in maintaining the field of view was expected during surgery. Hence, we performed a hybrid approach with celiac-to-right hepatic artery bypass by puncturing the femoral artery and cannulating the splenic artery to allow celiac–splenic artery balloon occlusion in case of rupture. More than 5 years postoperatively, the graft is patent without intervention.

Original language	English
Pages (from-to)	379.e1-379.e5
Journal	Annals of Vascular Surgery
Volume	83
DOIs	https://doi.org/10.1016/j.avsg.2022.03.011
Publication status	Published - 2022 Jul

ASJC Scopus subject areas

Surgery
Cardiology and Cardiovascular Medicine

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Umetsu, M., Akamatsu, D., Goto, H., Hashimoto, M., Serizawa, F., Tajima, Y., Horii, S., Ogasawara, N., Takahashi, H., Nagaoka, Y., & Kamei, T. (2022). Successful Treatment of Giant Common and Proper Hepatic Artery Aneurysm Complicating Autosomal Dominant Polycystic Kidney Disease. Annals of Vascular Surgery, 83, 379.e1-379.e5. https://doi.org/10.1016/j.avsg.2022.03.011

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title = "Successful Treatment of Giant Common and Proper Hepatic Artery Aneurysm Complicating Autosomal Dominant Polycystic Kidney Disease",

abstract = "Hepatic artery aneurysms (HAAs) complicating autosomal dominant polycystic kidney disease (ADPKD) are extremely rare. On account of the large number of renal cysts in ADPKD, ingenuity is required to safely perform surgery for HAA. Here, we present the case of a 60-year-old man with a common and proper HAA of >60 mm complicated with ADPKD. In this patient, difficulty in maintaining the field of view was expected during surgery. Hence, we performed a hybrid approach with celiac-to-right hepatic artery bypass by puncturing the femoral artery and cannulating the splenic artery to allow celiac–splenic artery balloon occlusion in case of rupture. More than 5 years postoperatively, the graft is patent without intervention.",

author = "Michihisa Umetsu and Daijirou Akamatsu and Hitoshi Goto and Munetaka Hashimoto and Fukashi Serizawa and Yuta Tajima and Shinichiro Horii and Norinobu Ogasawara and Hirokazu Takahashi and Yohei Nagaoka and Takashi Kamei",

note = "Funding Information: Funding: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Publisher Copyright: {\textcopyright} 2022 Elsevier Inc.",

year = "2022",

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doi = "10.1016/j.avsg.2022.03.011",

language = "English",

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AU - Umetsu, Michihisa

AU - Akamatsu, Daijirou

AU - Goto, Hitoshi

AU - Hashimoto, Munetaka

AU - Serizawa, Fukashi

AU - Tajima, Yuta

AU - Horii, Shinichiro

AU - Ogasawara, Norinobu

AU - Takahashi, Hirokazu

AU - Nagaoka, Yohei

AU - Kamei, Takashi

N1 - Funding Information: Funding: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Publisher Copyright: © 2022 Elsevier Inc.

PY - 2022/7

Y1 - 2022/7

N2 - Hepatic artery aneurysms (HAAs) complicating autosomal dominant polycystic kidney disease (ADPKD) are extremely rare. On account of the large number of renal cysts in ADPKD, ingenuity is required to safely perform surgery for HAA. Here, we present the case of a 60-year-old man with a common and proper HAA of >60 mm complicated with ADPKD. In this patient, difficulty in maintaining the field of view was expected during surgery. Hence, we performed a hybrid approach with celiac-to-right hepatic artery bypass by puncturing the femoral artery and cannulating the splenic artery to allow celiac–splenic artery balloon occlusion in case of rupture. More than 5 years postoperatively, the graft is patent without intervention.

AB - Hepatic artery aneurysms (HAAs) complicating autosomal dominant polycystic kidney disease (ADPKD) are extremely rare. On account of the large number of renal cysts in ADPKD, ingenuity is required to safely perform surgery for HAA. Here, we present the case of a 60-year-old man with a common and proper HAA of >60 mm complicated with ADPKD. In this patient, difficulty in maintaining the field of view was expected during surgery. Hence, we performed a hybrid approach with celiac-to-right hepatic artery bypass by puncturing the femoral artery and cannulating the splenic artery to allow celiac–splenic artery balloon occlusion in case of rupture. More than 5 years postoperatively, the graft is patent without intervention.

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Successful Treatment of Giant Common and Proper Hepatic Artery Aneurysm Complicating Autosomal Dominant Polycystic Kidney Disease

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