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供体肝脏附属肝右动脉变异肝移植术后肝假性动脉瘤形成伴胆漏胆管出血1例报告
DOI: 10.3969/j.issn.1001-5256.2022.12.024
伦理学声明：本例报告已获得患者知情同意。
利益冲突声明：所有作者均声明不存在利益冲突。
作者贡献声明：韩田负责病例资料的收集和论文初稿的撰写；徐钧指导论文的写作思路和定稿；张瑞、史志勇参与病例资料的分析和论文写作的讨论；张丽负责文献分析和论文的修改。
Diagnosis and treatment of hepatic pseudoaneurysm with bile leakage and bile duct hemorrhage after transplantation of donor liver with right hepatic artery variation: A case report
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Key words:
- Liver Transplantation /
- Hepatic Artery /
- Aneurysm, False
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图 1 肝移植手术供肝修整照片
Figure 1. The donor liver trimming photos of liver transplantation surgery
图 2 增强CT检查假性动脉瘤
注：箭头指附属肝右动脉假性动脉瘤。
Figure 2. The pseudoaneurysm in enhanced CT examination
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[1] SOLIMAN T, BODINGBAUER M, LANGER F, et al. The role of complex hepatic artery reconstruction in orthotopic liver transplantation[J]. Liver Transpl, 2003, 9(9): 970-975. DOI: 10.1053/jlts.2003.50167. [2] NOUSSIOS G, DIMITRIOU I, CHATZIS I, et al. The main anatomic variations of the hepatic artery and their importance in surgical practice: Review of the literature[J]. J Clin Med Res, 2017, 9(4): 248-252. DOI: 10.14740/jocmr2902w. [3] SOIN AS, FRIEND PJ, RASMUSSEN A, et al. Donor arterial variations in liver transplantation: management and outcome of 527 consecutive grafts[J]. Br J Surg, 1996, 83(5): 637-641. DOI: 10.1002/bjs.1800830515. [4] SRIVASTAVA DN, SHARMA S, PAL S, et al. Transcatheter arterial embolization in the management of hemobilia[J]. Abdom Imaging, 2006, 31(4): 439-448. DOI: 10.1007/s00261-005-0392-7. [5] KARAKOYUN R, ROMANO A, YAO M, et al. Impact of hepatic artery variations and reconstructions on the outcome of orthotopic liver transplantation[J]. World J Surg, 2020, 44(6): 1954-1965. DOI: 10.1007/s00268-020-05406-4. [6] MONTALTI R, BENEDETTI CACCIAGUERRA A, NICOLINI D, et al. Impact of aberrant left hepatic artery ligation on the outcome of liver transplantation[J]. Liver Transpl, 2018, 24(2): 204-213. DOI: 10.1002/lt.24992. [7] SAAD WE. Management of nonocclusive hepatic artery complications after liver transplantation[J]. Tech Vasc Interv Radiol, 2007, 10(3): 221-232. DOI: 10.1053/j.tvir.2007.09.016. [8] MA L, CHEN K, LU Q, et al. Case report of hepatic artery dissection secondary to hepatic artery pseudoaneurysm after living donor liver transplantation[J]. BMC Gastroenterol, 2016, 16: 44. DOI: 10.1186/s12876-016-0458-8. [9] ZHAO JC, LU SC, YAN LN, et al. Incidence and treatment of hepatic artery complications after orthotopic liver transplantation[J]. World J Gastroenterol, 2003, 9(12): 2853-2855. DOI: 10.3748/wjg.v9.i12.2853. [10] SOIN AS, JAMIESON NV. Native hepatic artery pseudoaneurysm after liver transplantation: an unusual presentation with biliary leak[J]. Eur J Vasc Endovasc Surg, 1995, 10(3): 376-379. DOI: 10.1016/s1078-5884(05)80063-2. [11] MOURAD MM, ALGARNI A, LIOSSIS C, et al. Aetiology and risk factors of ischaemic cholangiopathy after liver transplantation[J]. World J Gastroenterol, 2014, 20(20): 6159-6169. DOI: 10.3748/wjg.v20.i20.6159. [12] HANN A, SETH R, MERGENTAL H, et al. Biliary strictures are associated with both early and late hepatic artery stenosis[J]. Transplant Direct, 2021, 7(1): e643. DOI: 10.1097/TXD.0000000000001092. [13] WU Q, SUN Q, MEI B. Hemobilia due to hepatic artery pseudoaneurysm secondary to collateral circulation formation after liver trauma: a case report[J]. BMC Surg, 2021, 21(1): 71. DOI: 10.1186/s12893-021-01078-6. [14] CHEN J, WEINSTEIN J, BLACK S, et al. Surgical and endovascular treatment of hepatic arterial complications following liver transplant[J]. Clin Transplant, 2014, 28(12): 1305-1312. DOI: 10.1111/ctr.12431. [15] CHERIAN PT, HEGAB B, OLIFF SP, et al. The management of an accessory or replaced right hepatic artery during multiorgan retrieval: results of an angiographic study[J]. Liver Transpl, 2010, 16(6): 742-747. DOI: 10.1002/lt.22075. -
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