Fig. 6

Management of a true CHA aneurysm with stent-grafts and GDA embolisation. A Angiography confirmed the presence of a large aneurysm arising from the proximal proper hepatic artery extending to the bifurcation of the proper hepatic artery. B The gastroduodenal artery arising from the proximal aspect of the aneurysm was embolised with coils. C and D Two Viabahn stent grafts were placed extending from the right hepatic artery proximally to the origin of the coeliac trunk and completion angiography showed an excellent result with exclusion of the hepatic artery aneurysm. E Complete aneurysmal exclusion from the circulation on final angiogram. F On the 30 month follow up, the hepatic artery stents appeared occluded, however there are hepatic collaterals noted from the left gastric artery with patent portal vein. The hepatic artery aneurysm remains occluded