# Management of an Aorto-Hepatic Artery Conduit Pseudoaneurysm and Stricture in a Patient After a Liver Transplant

## TL;DR

This paper describes a rare case of managing a life-threatening complication in a liver transplant patient using specialized radiology techniques.

## Contribution

The paper presents a novel case of managing an aorto-hepatic artery conduit pseudoaneurysm and stricture during a liver transplant follow-up.

## Key findings

- An expanding pseudoaneurysm and anastomotic stricture were identified in a liver transplant patient.
- Interventional radiology techniques successfully restored blood flow to the liver graft despite a PSA rupture during the procedure.

## Abstract

Aorto-hepatic artery conduits (AHC) are created in patients with unsuitable native hepatic arteries after a liver transplant, usually from donor internal iliac arteries. There is scarce literature describing the management of vascular complications, such as pseudoaneurysms (PSAs) and strictures, in a tenuous AHC. We present the case of a 37-year-old female liver transplant recipient who was found to have an expanding AHC PSA and anastomotic stricture. Using interventional radiology equipment, we restored the flow to the patient’s liver graft while managing an intra-procedural rupture of the PSA. A working knowledge of the equipment used by interventional cardiologists in the interventional radiology suite can prove invaluable for managing complex arterial interventions in patients with liver transplants.