TY - JOUR
T1 - Hepatic artery injury during portacaval shunt surgery
AU - Reuter, S. R.
AU - Palmaz, J. C.
AU - Berk, R. N.
PY - 1980/1/1
Y1 - 1980/1/1
N2 - The angiography and clinical findings are presented in three patients in whom the proper hepatic artery was injured during a portacaval shunt operation. In two of the patients, hepatic artery occlusion, hepatic necrosis and death occurred within several days. In the third, an elongated, lobular aneurysm, clearly related to the operation, was an incidental finding on a postoperative angiogram. Because of the dependency of the cirrhotic liver on hepatic artery blood flow, hepatic artery occlusion in advanced cirrhotic patients is usually fatal and may be the cause of progressive and rapid onset of the hepatic coma in the postoperative period. The complications should be suspected when the SGOT increases rapidly in the postoperative period and can be confirmed by arteriography.
AB - The angiography and clinical findings are presented in three patients in whom the proper hepatic artery was injured during a portacaval shunt operation. In two of the patients, hepatic artery occlusion, hepatic necrosis and death occurred within several days. In the third, an elongated, lobular aneurysm, clearly related to the operation, was an incidental finding on a postoperative angiogram. Because of the dependency of the cirrhotic liver on hepatic artery blood flow, hepatic artery occlusion in advanced cirrhotic patients is usually fatal and may be the cause of progressive and rapid onset of the hepatic coma in the postoperative period. The complications should be suspected when the SGOT increases rapidly in the postoperative period and can be confirmed by arteriography.
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U2 - 10.2214/ajr.134.2.349
DO - 10.2214/ajr.134.2.349
M3 - Article
C2 - 6766245
AN - SCOPUS:0018906304
VL - 134
SP - 349
EP - 353
JO - AJR. American journal of roentgenology
JF - AJR. American journal of roentgenology
SN - 0361-803X
IS - 2
ER -