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This case report describes a 58-year-old man with Crohn’s disease who developed acute right upper quadrant and epigastric pain. CT angiography identified a 24-mm fusiform HAA involving the common hepatic artery, without feasible endovascular options, leading to targeted surgical aneurysmectomy with inverted great saphenous vein graft reconstruction. Postoperative bleeding from the left gastric artery was managed by endovascular coil embolization, and 12-month imaging confirmed complete resolution and graft patency.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/targeted-surgical-repair-of-a-symptomatic-hepatic-artery-aneurysm-case-insights-and-outcomes/437509/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/targeted-surgical-repair-of-a-symptomatic-hepatic-artery-aneurysm-case-insights-and-outcomes/437509.png","ImageObject",300,407,{"name":92,"@type":93},"Marglet","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why was timely management critical in this case of hepatic artery aneurysm?","Question",{"text":112,"@type":113},"HAAs are rare but carry a high risk of rupture and associated mortality, particularly when symptoms are present. The report emphasizes the need for prompt intervention based on aneurysm size and rupture risk.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What diagnostic tool identified the aneurysm and its extent?",{"text":117,"@type":113},"CT angiography (CTA) demonstrated a 24-mm fusiform hepatic artery aneurysm extending from the common hepatic artery origin to the proper hepatic artery trifurcation, along with additional celiac trunk findings.",{"name":119,"@type":110,"acceptedAnswer":120},"How was the aneurysm treated and how were complications managed?",{"text":121,"@type":113},"Surgical aneurysmectomy with reconstruction using an inverted great saphenous vein graft restored blood flow. A postoperative bleeding episode from the left gastric artery was treated with endovascular coil embolization, and follow-up imaging at 12 months showed no residual aneurysm and confirmed graft patency.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},437509,1790955071,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},2336477982702,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Wiley  \nCase Reports in Surgery  \nVolume 2026, Article ID 5774622, 5 pages [https://doi.org/10.1155/cris/5774622](https://doi.org/10.1155/cris/5774622)  \nCase Report  \nTargeted Surgical Repair of a Symptomatic Hepatic Artery Aneurysm: Case Insights and Outcomes  \nAlessandro Robaldo , 1 Francesca Mariani, 1 Alessandra Cristaudi,2 Giorgio Prouse, 1 Pietro Majno-Hurst,2 and Luca Giovannacci 1  \n1Department of Vascular Surgery and Angiology, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale, Lugano, Switzerland 2Department of Surgery, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale, Lugano, Switzerland  \nCorrespondence should be addressed to Alessandro Robaldo; [robaldo.alessandro@gmail.com](robaldo.alessandro@gmail.com)  \nReceived 21 September 2024; Revised 28 September 2025; Accepted 12 December 2025  \nAcademic Editor: Tulika Banerjee  \nCopyright © 2026 Alessandro Robaldo et al. Case Reports in Surgery published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.  \nIntroduction: Hepatic artery aneurysms (HAAs) are rare but significant vascular lesions associated with high mortality due to rupture, particularly in symptomatic cases. This report highlights the clinical importance of timely intervention and presents a case of surgical management of a true HAA.  \nCase Presentation: We present a 58-year-old man with a history of Crohn’s disease who exhibited acute right upper quadrant and epigastric pain. Initial evaluation, including CT angiography (CTA), revealed a 24-mm fusiform HAA involving the common hepatic artery. Despite transient relief of pain with analgesics, surgical intervention was deemed necessary due to the aneurysm’s size and risk of rupture. The patient underwent an aneurysmectomy with reconstruction using an inverted great saphenous vein graft through a bilateral subcostal incision. The surgical procedure was completed without intraoperative complications, successfully excising the aneurysm and restoring blood flow via the graft. The patient experienced a complex postoperative course, including a sudden episode of bleeding from the left gastric artery, which was effectively managed with endovascular coil embolization. Follow-up imaging at 12 months showed no residual aneurysm and confirmed graft patency, along with favorable perfusion of the intrahepatic arteries.  \nConclusions: This case illustrates that surgical repair can be a safe and effective treatment for HAAs when endovascular options are not feasible. It underscores the necessity of personalized management strategies based on individual patient characteristics and specific aneurysm features. Further studies are required to optimize treatment protocols for HAAs.  \n1. Introduction  \nHepatic artery aneurysms (HAAs) are rare but require prompt management due to their high propensity for rupture and the significant associated mortality, particularly in symptomatic cases. These lesions represent the second most frequently reported type of visceral artery aneurysm. All segments of the hepatic artery are susceptible, with the majority (75%–80%) being solitary and occurring extrahepatically. Although information regarding the best treatment options is limited and current guidelines are based on a low level of evidence, medical, surgical, and endovascular treatments have been described. The endovascular approach is increasingly recommended as the preferred solution, while open repair remains a valuable option  \n[1]. This work is reported in accordance with the SCARE 2023 guideline [2].  \n2. Case Presentation  \nA 58-year-old white male with a history of Crohn’s disease, prior hepatitis B infection, metabolic syndrome, nonalcoholic fatty liver disease, and major abdominal surgery (laparotomic sigmoidectomy for diverticulitis complicated by anastomotic insufficiency and peritonitis inv","cbCaijKlt3QWfJ86","https://ap.wps.com/l/cbCaijKlt3QWfJ86","pdf",1511563,"English","# Introduction\n# Case Presentation\n## Imaging and diagnosis\n## Surgical strategy and reconstruction\n## Postoperative course and follow-up\n# Conclusions","[{\"question\":\"Why was timely management critical in this case of hepatic artery aneurysm?\",\"answer\":\"HAAs are rare but carry a high risk of rupture and associated mortality, particularly when symptoms are present. The report emphasizes the need for prompt intervention based on aneurysm size and rupture risk.\"},{\"question\":\"What diagnostic tool identified the aneurysm and its extent?\",\"answer\":\"CT angiography (CTA) demonstrated a 24-mm fusiform hepatic artery aneurysm extending from the common hepatic artery origin to the proper hepatic artery trifurcation, along with additional celiac trunk findings.\"},{\"question\":\"How was the aneurysm treated and how were complications managed?\",\"answer\":\"Surgical aneurysmectomy with reconstruction using an inverted great saphenous vein graft restored blood flow. A postoperative bleeding episode from the left gastric artery was treated with endovascular coil embolization, and follow-up imaging at 12 months showed no residual aneurysm and confirmed graft patency.\"}]","Targeted Surgical Repair of a Symptomatic Hepatic Artery Aneurysm - Case Insights and Outcomes | PDF",1790682175,13]