planchnic artery aneurysms (SAA) are seen rarely, but this entity is clinically important. 1 Hepatic artery aneurysm (HAA) may be seen as the true aneurysms or pseudoaneurysms. True HAA is the fourth most common site of splanchnic artery aneursym, following infrarenal aorta, iliac artery and splenic artery. 2 HAA accounts for approximately 20% of SAA, 80% of which are extrahepatic and solitary. 3,4 The rest are intrahepatic. 1-5 It is known that 63% of HAAs involve the common hepatic artery. False ane- urysms mostly occur in the right hepatic artery. 6 Previously, HAAs were known to be frequently caused by mycotic infections and inflammation. 7,8 However currently, atherosclerosis is accepted as the most common cause Damar Cer Derg 2013;22(1) 45 Surgical Repair of a Hepatic Artery Aneurysm: A Rare Case Report ABSTRACT Hepatic artery aneurysms (HAAs) account for approximately 20% of splanchnic ar- tery aneurysms (SAAs). Most of the SAAs are generally asymptomatic and detected incidentally. Rupture of HAA is the first clinical manifestation in 80% of the cases. A 54-year-old female patient whose HAA was incidentally detected with abdominal ultrasonography two years ago, was referred to our clinic. Celiac artery angiography demonstrated a HAA in 4x6 cm diameters arising from the common hepatic artery. Abdominal wall opened through a median incision. After 5000 IU of sys- temic heparinization, proximal hepatic, distal hepatic and gastroduodenal arteries were clamped. Aneurysm was removed and saphenous vein interposition was performed by end-to-end anasto- mosis. Gastroduodenal artery end-to-side anastomosis was performed through the interposition of a 2 cm saphenous vein. The patient was discharged uneventfully on the postoperative eighth day. Key Words: Aneurysm; splanchnic circulation; hepatic artery aneurysms ÖZET Hepatik arter anevrizmaları(HAA) intraabdominal organ anevrizmaların yaklaşık %20’sin- den sorumludur. Batın içindeki organ anevrizmalarının çoğunluğu asemptomatiktir ve tesadüfen tespit edilir. Batın ultrasonografi sırasında tesadüfen HAA tespit edilen 54 yaşındaki kadın hasta kliniğimize kabul edildi. Çölyak arter anjiyografisinde ana hepatik arterden kaynaklanan 4x6 cm çapında HAA tespit edildi. Batın median kesi ile açıldı. Takiben 5000 IU sistemik heparinizasyon yapıldı ve proksimal, distal ve gastroduodenal arterler klemplendi. Anevrizma çıkarıldı, 6 cm uzun- luğunda safen ven ile uç-uca anastomoz yapıldı. Gastroduodenal arter 2 cm’lik safen ven interpoze edilerek uç-yan anastomoze edildi. Hasta post operatif 8. gün şifa ile taburcu edildi. Anahtar Kelimeler: Anevrizma; splanknik dolaşım; hepatik arter anevrizması Damar Cer Derg 2013;22(1):45-7 Kemalettin ERDEM, a Onursal BUĞRA, a Emine DAĞISTAN, b Orhan BOZOĞLAN, c Ümit YAŞAR TEKELİOĞLU, d Akçan AKKAYA, d Bahadır DAĞLAR a Departments of a Cardiovascular Surgery, b Radiology, d Anesthesiology and Reanimation, Abant İzzet Baysal University Faculty of Medicine, Bolu c Department of Cardiovascular Surgery, Kahramanmaraş Sütçü İmam University Faculty of Medicine, Kahramanmaraş Geliş Tarihi/Received: 16.10.2012 Kabul Tarihi/Accepted: 02.01.2013 This case report was presented in Turkish Society for Cardiovascular Surgery 12 th National Congress, 8-11 November 2012, Antalya, Turkey. Yazışma Adresi/Correspondence: Kemalettin ERDEM Abant İzzet Baysal University Faculty of Medicine, Department of Cardiovascular Surgery, Bolu, TÜRKİYE/TURKEY drkemalettincvs@yahoo.com doi: 10.9739/uvcd.2012-32357 Copyright © 2013 by Ulusal Vasküler Cerrahi Derneği OLGU SUNUMU Aortik Anevrizmalar, Cerrahi ve Endovasküler Tedavisi