Stent-grafts placement for treatment of massive hemorrhage from ruptured hepatic artery after pancreaticoduodenectomy

Figure 1 A 75-year-old female with pancreatic head malignancy underwent a pylorus-preserving pancreaticoduodenectomy (Case 1). A: Selective angiography of the common hepatic artery shows a large ruptured hepatic artery pseudoaneurysm with extravasation of contrast medium (arrows); B: Angiography after two stent-grafts placement demonstrates exclusion of the aneurysm and preserved hepatic artery blood flow through the stent-grafts (arrows). Note the splenic artery was embolized 4 d ago due to bleeding from the splenic artery (curved arrow).