# Cardiac Arrest Triggered by Ruptured Aberrant Left Hepatic Artery Aneurysm and Subsequent Management

## TL;DR

A 71-year-old woman suffered cardiac arrest due to a rare ruptured liver artery aneurysm and was successfully treated with surgery.

## Contribution

This case report highlights the management challenges of ruptured aberrant left hepatic artery aneurysms.

## Key findings

- The patient underwent successful surgical resection of the ruptured aneurysm.
- She recovered without post-arrest deficits or persistent liver dysfunction.
- The case illustrates the decision-making process for surgical versus endovascular treatment.

## Abstract

Hepatic artery aneurysms (HAAs) are a rare type of splanchnic artery aneurysm. Our understanding is limited given the rarity of incidence. Rupture on presentation has a high mortality rate. We report the case of a 71-year-old woman who presented with a ruptured aberrant left HAA and subsequent cardiac arrest. She had risk factors of hypertension and was a long-term smoker. Post imaging-guided diagnosis and emergent multi-disciplinary discussion with the interventional radiology team, she underwent surgical resection of the aneurysm. Her recovery was unremarkable with gradual resolution of hepatic dysfunction and no residual post-arrest deficits. This case provides insight into the challenges of HAA anatomy and decision-making regarding surgical versus endovascular management and techniques.