Catastrophic Post-op Complication of Acute Ischemic Liver Failure Secondary to Hepatic Artery Dissection Following Portal Vein Aneurysmorrhaphy

Abstract

Acute liver failure secondary to acute hepatic artery occlusion is a rare but catastrophic event. We present the case of a 74-year-old male patient who developed acute ischemic liver failure following portal vein thrombectomy and aneurysmorrhaphy. Despite subsequent surgical and interventional attempts to restore hepatic perfusion, the patient’s condition rapidly deteriorated, leading to multi-organ failure and death. This case underscores the importance of early recognition and aggressive management of hepatic artery thrombosis to prevent irreversible liver damage.