CASE REPORT   

International Angiology 2004 September;23(3):291-5

Copyright © 2004 EDIZIONI MINERVA MEDICA

language: English

Endovascular treatment of hepatic artery aneurysm in a patient with Ehlers-Danlos syndrome. Case report

Casana R., Nano G., Dalainas I., Tealdi D. G.

1st Unit of Vascular Surgery, “San Donato” Polyclinic Institute, University of Milan, Milan, Italy

Ehlers-Dan­los syn­drome (EDS) is a rare, var­i­ably inher­it­ed dis­or­der affect­ing con­nec­tive tis­sue. ­Patients with EDS often devel­op aneu­rysms of the tho­rac­ic and abdom­i­nal aorta as well as the vis­cer­al arter­ies. We ­report our expe­ri­ence with an elec­tive endo­vas­cu­lar exclu­sion of an hepat­ic ­artery aneu­rysm in a 26-year-old ­female ­patient with EDS type IV. A bal­loon-expand­able 4×26 mm stent-graft was ­placed in the com­mon hepat­ic ­artery, exclud­ing the aneu­rysm. The fol­low-up at the 2, 6 and 18 ­months ­showed the paten­cy of the com­mon hepat­ic ­artery, the ­absence of endo­leak and the right loca­tion of the stent-graft. In EDS ­patients, the endo­vas­cu­lar treat­ment could be pref­er­able to open sur­gery ­because of the min­i­mum trau­ma.