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British Journal of Radiology (2005) 78, 453-456
© 2005 British Institute of Radiology
doi: 10.1259/bjr/12679319
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Case report

Hepatic artery pseudoaneurysm after liver transplantation: definitive treatment with a stent-graft after failed coil embolisation

G Maleux, MD1, J Pirenne, MD, PhD2, R Aerts, MD2 and F Nevens, MD, PhD3

Departments of 1 Radiology, 2 Abdominal Transplantation Surgery and 3 Hepatology, University Hospitals Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium

A 69-year-old woman presented with massive upper gastrointestinal bleeding owing to a ruptured hepatic pseudoaneurysm located at the surgical arterial anastomosis, 2 months after combined liver and kidney transplantation. Initially the pseudoaneurysm was successfully coiled but 3 weeks later recurrence of her symptoms occurred. Hepatic angiography revealed partial reperfusion of the coiled pseudoaneurysm; definitive treatment was performed by placement of an expanded-polytetrafluoroethylene (e-PTFE) covered coronary stent-graft, completely excluding the pseudoaneurysm. Radiological follow-up studies demonstrate a patent stent-graft functioning normally.






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