A Ruptured Aneurysm of the Right Gastric Artery Occurred Immediately after Endovascular Treatment of Common Hepatic Aneurysm: A Case Report
Open Access
- 10 April 2020
- journal article
- Published by Japan College of Angiology in The Journal of Japanese College of Angiology
- Vol. 60 (4), 47-51
- https://doi.org/10.7133/jca.19-00031
Abstract
症例は84歳，女性。22 mm大の総肝動脈瘤に対して親動脈遠位近位塞栓術が施行された。術後翌日激しい腹痛が生じ，造影CTで右胃動脈瘤破裂による腹腔内出血が認められた。緊急血管造影を施行し，左胃動脈経由で右胃動脈瘤近傍に挿入したマイクロカテーテルから25%希釈n-butyl-2-cyanoacrylate 0.4 mLを注入して止血に成功した。右胃動脈瘤の発生と破裂は，脆弱な血管壁への総肝動脈閉塞後の右胃動脈血流増加による血管壁剪断応力の変化が原因であると考えられる。This publication has 13 references indexed in Scilit:
- Hemodynamic benefits of celiac artery release for ruptured right gastric artery aneurysm associated with median arcuate ligament syndrome: a case reportBMC Surgery, 2017
- A rare case of spontaneous rupture of an aneurysm of the right gastric arteryInternational Journal of Surgery Case Reports, 2017
- Operative management of hepatic artery aneurysmsJournal of Vascular Surgery, 2015
- Visceral artery aneurysms: Incidence, management, and outcome analysis in a tertiary care center over one decadeEuropean Radiology, 2015
- Ruptured gastric artery aneurysm: An uncommon manifestation of microscopic polyangiitisWorld Journal of Gastroenterology, 2014
- Acute Remodeling of an Adjoining Aneurysm after Endovascular Treatment of a Ruptured Splanchnic Arterial Aneurysm: A Case of Clinically Diagnosed Segmental Arterial MediolysisAnnals of Vascular Diseases, 2012
- Hepatic artery aneurysm: factors that predict complicationsJournal of Vascular Surgery, 2003
- Visceral artery aneurysm ruptureJournal of Vascular Surgery, 2001
- Clinical importance and management of splanchnic artery aneurysmsJournal of Vascular Surgery, 1986
- Gastric aneurysms: Unusual lesions with lethal potentialThe American Journal of Surgery, 1975