Successful endovascular treatment of aneurysms of visceral arteries in patient with orthotopic liver transplantation (clinical case)

DOI: https://doi.org/10.25512/DIR.2019.13.1.09

For quoting:
Moiseenko A.V., Tarazov P.G., Generalov M.I., Polikarpov A.A., Zherebtsov F.K., Maistrenko D.M., Oleshuk A.N., Tileybergenov I.I., Karakhanova A.G., Kagacheva T.I., Granov D.A. "Successful endovascular treatment of aneurysms of visceral arteries in patient with orthotopic liver transplantation (clinical case)". Journal Diagnostic & interventional radiology. 2019; 13(1); 73-77.

authors:

Moiseenko A.V.

Tarazov P.G.

Generalov M.I.

Polikarpov A.A.

Zherebtsov F.K.

Maistrenko D.M.

Oleshuk A.N.

Tileybergenov I.I.

Karakhanova A.G.

Kagacheva T.I.

Granov D.A.

keywords:

aneurysms

Orthotopic Liver Transplantation (OLT)

visceral arterial aneurysm

stenosis of celiac trunk

stenting

embolization

Abstract:

A 57-year-old woman was on the waiting list of Orthotopic Liver Transplantation (OLT) due to cirrhosis of viral etiology MSCT with contrast enhancement showed two aneurysms of the splenic artery, stenosis of the celiac trunk with aneurysm of the pancreaticoduodenal artery Taking into account asymptomatic course, we decided to eradicate vascular changes during the forthcoming OLT OLT performed 6 month later, was technically difficult and complicated by massive blood loss and episodes of unstable hemodynamics, so surgical correction of aneurysms was not performed because of high risk. The patient was well and asymptomatic for 2 years after the OLT, but then she developed abdominal pain. MSCT showed progression of vascular changes. Successful endovascular treatment included celiac trunk stenting and embolization of aneurysms.

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