case_images: PMC8339217_01
case_images: Computed tomography scan before intervention. Yellow arrow: dilated common bile duct, red arrow: true aneurysm of the common hepatic artery.
case_images: gr1.jpg
case_images: PMC8339217_01_gr1.jpg
case_images: fig1
case_images: A computed tomography angiogram (CTA) showed a HAA of the common hepatic artery (CHA) of 53 mm at its bifurcation with the gastroduodenal artery (GDA), compressing and dilating the common bile duct (CBD) (Fig. 1).
case_images: Day 1 post-endovascular intervention using a covered stent. Blue arrow: no flow in the hepatic artery aneurysm (HAA); green arrow: stent in HAA; red arrow: common hepatic artery origin.
case_images: gr2.jpg
case_images: PMC8339217_01_gr2.jpg
case_images: fig2
case_images: A subtraction angiogram showed an excluded HAA with patent flow through the stents and the right hepatic artery (RHA) (Fig. 2).
case_images: Day 19 post-endovascular intervention. Blue arrow: flow in hepatic artery aneurysm (HAA); green arrow: stent in HAA; red arrow: common hepatic artery origin dilated.
case_images: gr3.jpg
case_images: PMC8339217_01_gr3.jpg
case_images: fig3
case_images: The aneurysm itself had grown in diameter with signs of local infection (Fig. 3).
case_images: Five days post open repair by ligating the inflow and outflow artery of the hepatic artery aneurysm. Red arrow: common hepatic artery origin ligated.
case_images: gr4.jpg
case_images: PMC8339217_01_gr4.jpg
case_images: fig4
case_images: The operation was performed successfully by a team of vascular and hepatobiliary surgeons (Fig. 4).