Multidetector CT of hepatic artery pathologies

JBR-BTR. 2012 Nov-Dec;95(6):345-9. doi: 10.5334/jbr-btr.719.

Abstract

The hepatic artery can be involved by a variety of pathology and diseases.Today MDCT enables high quality imaging of the hepatic artery using axial, MIP and volume rendered images. We illustrate MDCT findings of anatomical variations, aneurysm, dilatation, dissection, arteriovenous fistula, thrombosis and stenosis. Aneurysms can be saccular, fusiform and multiple and may develop due to atherosclerosis, vasculitis, trauma and biopsy. Dilatation of hepatic artery can be seen in portal hypertension, Osler-Weber-Rendu disease and hemangiomatosis. Hepatic artery can be occluded after trauma and transplantation. Dissection develops due to atherosclerosis, Marfan and Ehler Danlos syndromes and during pregnancy. Arteriovenous fistula can be congenital and acquired. We conclude that various hepatic artery pathologies can be confidently diagnosed by MDCT.

MeSH terms

  • Aneurysm / diagnostic imaging
  • Arteriovenous Fistula / diagnostic imaging
  • Hepatic Artery / diagnostic imaging*
  • Humans
  • Multidetector Computed Tomography / methods*
  • Thrombosis / diagnostic imaging