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February 1956

Hepatic Artery Aneurysm: Report of a Case and Review of the Literature

AMA Arch Surg. 1956;72(2):300-310. doi:10.1001/archsurg.1956.01270200116023

In 1809, a 50-year-old man died because of rupture of an intrahepatic aneurysm the size and shape of a heart involving the left hepatic artery. A Dr. Wilson, describing this case in a lecture before the Royal College of Surgeons, became the first to report an aneurysm of the hepatic artery.* This entity has been the subject of several excellent reviews over the past 50 years,† and a careful record of the number of cases reported has been kept. In all, 99 cases have appeared in the literature.

Admittedly something of a collector's item, this condition is nevertheless worthy of further discussion, if for no other reason than the singular lack of success surgeons have had in treating it. Among the 99 cases reported, there have been only 2 well-established "cures," and 90 patients have died of the disease. Indeed, most of the reports represent autopsies of cases in which