Zaur GUSEINOV, Sebil Merve ŞEN TOPCU, Cemal KOCAASLAN, Ebuzer AYDIN
Cardiovascular Surgery and Interventions - 2026;13(1):49-51
Iatrogenic hepatic artery injury during cholecystectomy is a serious complication, often exacerbated by inflammation and anatomical variations of the vascular structures. In this case report, a 16-year-old patient undergoing laparoscopic cholecystectomy for cholecystitis sustained a hepatic artery injury. The cardiovascular surgery team performed an interposition graft using the saphenous vein to restore arterial flow. Systemic heparinization was administered intravenously at a dose of 100 IU/kg before vascular clamping. Hemostasis was achieved through temporary clamping of the celiac trunk branches. Contrast-enhanced computed tomography angiography on postoperative day 5 confirmed the patency of the graft. In cases where bile duct and hepatic artery injuries occur simultaneously, a multidisciplinary approach is essential to improve patient outcomes and minimize complications.
