Surgical repair of a hepatic artery aneurysm: A rare case

TEKELİOĞLU, Ümit Yaşar; AKKAYA, Akcan; ERDEM, Kemalettin; Dagistan, Emine; BOZOĞLAN, Orhan; DAĞLAR, Bahadır; BUĞRA, Onursal

Surgical repair of a hepatic artery aneurysm: A rare case

Kemalettin ERDEM, (Abant İzzet Baysal Üniversitesi, Kalp ve Damar Cerrahisi Bölümü, Bolu, Türkiye)

Onursal BUĞRA, (Abant İzzet Baysal Üniversitesi, Kalp ve Damar Cerrahisi Bölümü, Bolu, Türkiye)

Emine DAĞISTAN, (Abant İzzet Baysal Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Bolu, Türkiye)

Orhan BOZOĞLAN, (Sütçü İmam Üniversitesi, Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Kahramanmaraş, Türkiye)

Ümit YAŞAR TEKELİOĞLU, (Abant İzzet Baysal Üniversitesi, İzzet Baysal Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Bolu, Türkiye)

Bahadır DAĞLAR, (Abant İzzet Baysal Üniversitesi, Kalp ve Damar Cerrahisi Bölümü, Bolu, Türkiye)

Akcan AKKAYA (Abant İzzet Baysal Üniversitesi, İzzet Baysal Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Bolu, Türkiye)

Damar Cerrahi Dergisi

8 2

Yıl: 2013 Cilt: 22 Sayı: 1 Sayfa Aralığı: 45 - 47 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Surgical repair of a hepatic artery aneurysm: A rare case

Öz:

Hepatik arter anevrizmaları(HAA) intraabdominal organ anevrizmaların yaklaşık %20sinden sorumludur. Batın içindeki organ anevrizmalarının çoğunluğu asemptomatiktir ve tesadüfen tespit edilir. Batın ultrasonografi sırasında tesadüfen HAA tespit edilen 54 yaşındaki kadın hasta kliniğimize kabul edildi. Çölyak arter anjiyografisinde ana hepatik arterden kaynaklanan 4x6 cm çapında HAA tespit edildi. Batın median kesi ile açıldı. Takiben 5000 IU sistemik heparinizasyon yapıldı ve proksimal, distal ve gastroduodenal arterler klemplendi. Anevrizma çıkarıldı, 6 cm uzunluğunda safen ven ile uç-uca anastomoz yapıldı. Gastroduodenal arter 2 cmlik safen ven interpoze edilerek uç-yan anastomoze edildi. Hasta post operatif 8. gün şifa ile taburcu edildi.

Anahtar Kelime:

Konular: Cerrahi

Report hepatik arter anevrizmasının cerrahi tamiri: Nadir bir olgu sunumu

Öz:

Hepatic artery aneurysms (HAAs) account for approximately 20% of splanchnic artery aneurysms (SAAs). Most of the SAAs are generally asymptomatic and detected incidentally. Rupture of HAA is the first clinical manifestation in 80% of the cases. A 54-year-old female patient whose HAA was incidentally detected with abdominal ultrasonography two years ago, was referred to our clinic. Celiac artery angiography demonstrated a HAA in 4x6 cm diameters arising from the common hepatic artery. Abdominal wall opened through a median incision. After 5000 IU of systemic heparinization, proximal hepatic, distal hepatic and gastroduodenal arteries were clamped. Aneurysm was removed and saphenous vein interposition was performed by end-to-end anastomosis. Gastroduodenal artery end-to-side anastomosis was performed through the interposition of a 2 cm saphenous vein. The patient was discharged uneventfully on the postoperative eighth day.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

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APA	ERDEM K, BUĞRA O, Dagistan E, BOZOĞLAN O, TEKELİOĞLU Ü, DAĞLAR B, AKKAYA A (2013). Surgical repair of a hepatic artery aneurysm: A rare case. , 45 - 47.
Chicago	ERDEM Kemalettin,BUĞRA Onursal,Dagistan Emine,BOZOĞLAN Orhan,TEKELİOĞLU Ümit Yaşar,DAĞLAR Bahadır,AKKAYA Akcan Surgical repair of a hepatic artery aneurysm: A rare case. (2013): 45 - 47.
MLA	ERDEM Kemalettin,BUĞRA Onursal,Dagistan Emine,BOZOĞLAN Orhan,TEKELİOĞLU Ümit Yaşar,DAĞLAR Bahadır,AKKAYA Akcan Surgical repair of a hepatic artery aneurysm: A rare case. , 2013, ss.45 - 47.
AMA	ERDEM K,BUĞRA O,Dagistan E,BOZOĞLAN O,TEKELİOĞLU Ü,DAĞLAR B,AKKAYA A Surgical repair of a hepatic artery aneurysm: A rare case. . 2013; 45 - 47.
Vancouver	ERDEM K,BUĞRA O,Dagistan E,BOZOĞLAN O,TEKELİOĞLU Ü,DAĞLAR B,AKKAYA A Surgical repair of a hepatic artery aneurysm: A rare case. . 2013; 45 - 47.
IEEE	ERDEM K,BUĞRA O,Dagistan E,BOZOĞLAN O,TEKELİOĞLU Ü,DAĞLAR B,AKKAYA A "Surgical repair of a hepatic artery aneurysm: A rare case." , ss.45 - 47, 2013.
ISNAD	ERDEM, Kemalettin vd. "Surgical repair of a hepatic artery aneurysm: A rare case". (2013), 45-47.

APA	ERDEM K, BUĞRA O, Dagistan E, BOZOĞLAN O, TEKELİOĞLU Ü, DAĞLAR B, AKKAYA A (2013). Surgical repair of a hepatic artery aneurysm: A rare case. Damar Cerrahi Dergisi, 22(1), 45 - 47.
Chicago	ERDEM Kemalettin,BUĞRA Onursal,Dagistan Emine,BOZOĞLAN Orhan,TEKELİOĞLU Ümit Yaşar,DAĞLAR Bahadır,AKKAYA Akcan Surgical repair of a hepatic artery aneurysm: A rare case. Damar Cerrahi Dergisi 22, no.1 (2013): 45 - 47.
MLA	ERDEM Kemalettin,BUĞRA Onursal,Dagistan Emine,BOZOĞLAN Orhan,TEKELİOĞLU Ümit Yaşar,DAĞLAR Bahadır,AKKAYA Akcan Surgical repair of a hepatic artery aneurysm: A rare case. Damar Cerrahi Dergisi, vol.22, no.1, 2013, ss.45 - 47.
AMA	ERDEM K,BUĞRA O,Dagistan E,BOZOĞLAN O,TEKELİOĞLU Ü,DAĞLAR B,AKKAYA A Surgical repair of a hepatic artery aneurysm: A rare case. Damar Cerrahi Dergisi. 2013; 22(1): 45 - 47.
Vancouver	ERDEM K,BUĞRA O,Dagistan E,BOZOĞLAN O,TEKELİOĞLU Ü,DAĞLAR B,AKKAYA A Surgical repair of a hepatic artery aneurysm: A rare case. Damar Cerrahi Dergisi. 2013; 22(1): 45 - 47.
IEEE	ERDEM K,BUĞRA O,Dagistan E,BOZOĞLAN O,TEKELİOĞLU Ü,DAĞLAR B,AKKAYA A "Surgical repair of a hepatic artery aneurysm: A rare case." Damar Cerrahi Dergisi, 22, ss.45 - 47, 2013.
ISNAD	ERDEM, Kemalettin vd. "Surgical repair of a hepatic artery aneurysm: A rare case". Damar Cerrahi Dergisi 22/1 (2013), 45-47.