Treatment of Three Pancreaticoduodenal Artery Aneurysms Associated with CœLiac Artery Occlusion and Splenic Artery Aneurysm: A Case Report and Review of the Literature

A case of three pancreaticoduodenal artery (PDA) aneurysms associated with cœliac artery occlusion and a concomitant splenic arterial aneurysm is described. Surgical treatment was used because it was anticipated that the hepatic blood supply would be obstructed completely if percutaneous translumina...

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Veröffentlicht in:European journal of vascular and endovascular surgery 2005-02, Vol.29 (2), p.213-217
Hauptverfasser: Jibiki, M., Inoue, Y., Iwai, T., Sugano, N., Igari, T., Koike, M.
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container_end_page 217
container_issue 2
container_start_page 213
container_title European journal of vascular and endovascular surgery
container_volume 29
creator Jibiki, M.
Inoue, Y.
Iwai, T.
Sugano, N.
Igari, T.
Koike, M.
description A case of three pancreaticoduodenal artery (PDA) aneurysms associated with cœliac artery occlusion and a concomitant splenic arterial aneurysm is described. Surgical treatment was used because it was anticipated that the hepatic blood supply would be obstructed completely if percutaneous transluminal embolization for three PDA aneurysms were performed. Splenectomy in continuity with the splenic artery aneurysm and PDA aneurysmectomies were performed, and infrarenal abdominal aorto-splenic artery bypass was accomplished using a 6 mm ringed expanded polytetrafluoroethylene graft. The postoperative course was uneventful. Graft patency and successful aneurysm ablation were confirmed using MRA and intravenous DSA. Arterial histology revealed segmental arterial mediolysis. At 2-year follow-up, the patient was well and asymptomatic. A literature review of PDA aneurysms is presented.
doi_str_mv 10.1016/j.ejvs.2004.09.010
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subjects Aneurysm - diagnosis
Aneurysm - surgery
Arterial Occlusive Diseases - diagnosis
Arterial Occlusive Diseases - surgery
Blood Vessel Prosthesis
Celiac Artery - surgery
Cœliac artery stenosis or occlusion
Duodenum - blood supply
Female
Humans
Middle Aged
Pancreas - blood supply
Pancreaticoduodenal artery aneurysm
Segmental arterial mediolysis (SAM)
Splenectomy
Splenic Artery - surgery
Visceral aneurysm
title Treatment of Three Pancreaticoduodenal Artery Aneurysms Associated with CœLiac Artery Occlusion and Splenic Artery Aneurysm: A Case Report and Review of the Literature
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