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Hepatic artery aneurysm

Key sources
The following summarized guidelines for the evaluation and management of hepatic artery aneurysm are prepared by our editorial team based on guidelines from the Society for Vascular Surgery (SVS 2020).
1

Guidelines

1.Diagnostic investigations

Diagnostic imaging
Obtain CTA as the diagnostic tool of choice in patients with suspected hepatic artery aneurysm.
B
Obtain mesenteric angiography for preoperative planning of patients with hepatic artery aneurysm considered for intervention.
B
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  • Screening for other aneurysms

2.Therapeutic procedures

Indications for repair: repair all hepatic artery pseudoaneurysms, regardless of cause, as soon as the diagnosis is made, given the high propensity of rupture and significant antecedent mortality.
A
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  • Choice of repair

3.Follow-up and surveillance

Surveillance imaging: consider obtaining annual follow-up with CTA or non-contrast-enhanced CT to monitor patients with asymptomatic hepatic artery aneurysm.
C