Work

Open surgical resection of giant common hepatic artery aneurysm after failed endovascular repair

Year: 2026

Type: article

Abstract: Hepatic artery aneurysms represent 20% of visceral artery aneurysms and carry a high risk of fatal outcomes. We describe an 8.6-cm common hepatic artery aneurysm previously treated with endovascular stenting and coiling that progressively enlarged and was complicated by endoleak and mural thrombus. Open partial resection was performed without reconstruction, and the patient made a full recovery with no recurrence at the 2-year follow-up. This case underscores the therapeutic challenges in treating giant aneurysms and highlights the importance of assessing collateral circulation when considering an aneurysmectomy.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2026.102183

Authors: Javier Fernandez, Jorge Rey, Alan Livingstone

Institutions: University of Miami, University of Miami Health System

Language: English

Topic: Abdominal vascular conditions and treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250