Life-Threatening Rupture of an Idiopathic Left Hepatic Artery Pseudoaneurysm Successfully Treated with Endovascular Coil Embolization

Figure 2

Hepatic and mesenteric arteriogram. Large pseudoaneurysm seen at the left hepatic artery to segment 2/3 of the liver (a). Postcoil embolization of the superselective branch of the left hepatic artery to segments 2/3 of the liver (b). Postembolization control run to the treated vessel showing decreased blood into the pseudoaneurysm and preserved blood flow into the segments 4a/4b of the liver (c). Final control run postcoil embolization showing no further filling of the pseudoaneurysm to segment 2/3 and preserved flow into the remaining left hepatic artery (d). Selective SMA run showing replaced right hepatic artery to the SMA with preserved flow into the right liver and no evidence of backdoor filling into the left hepatic artery pseudoaneurysm (e).

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