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 |
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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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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.</description><identifier>ISSN: 1078-5884</identifier><identifier>EISSN: 1532-2165</identifier><identifier>DOI: 10.1016/j.ejvs.2004.09.010</identifier><identifier>PMID: 15649732</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>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</subject><ispartof>European journal of vascular and endovascular surgery, 2005-02, Vol.29 (2), p.213-217</ispartof><rights>2004 Elsevier Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c398t-7dbf7126da609d61732eba5e355aaaac879fff39a9605e35d7da649d8e88300c3</citedby><cites>FETCH-LOGICAL-c398t-7dbf7126da609d61732eba5e355aaaac879fff39a9605e35d7da649d8e88300c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1078588404004162$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15649732$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jibiki, M.</creatorcontrib><creatorcontrib>Inoue, Y.</creatorcontrib><creatorcontrib>Iwai, T.</creatorcontrib><creatorcontrib>Sugano, N.</creatorcontrib><creatorcontrib>Igari, T.</creatorcontrib><creatorcontrib>Koike, M.</creatorcontrib><title>Treatment of Three Pancreaticoduodenal Artery Aneurysms Associated with CœLiac Artery Occlusion and Splenic Artery Aneurysm: A Case Report and Review of the Literature</title><title>European journal of vascular and endovascular surgery</title><addtitle>Eur J Vasc Endovasc Surg</addtitle><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.</description><subject>Aneurysm - diagnosis</subject><subject>Aneurysm - surgery</subject><subject>Arterial Occlusive Diseases - diagnosis</subject><subject>Arterial Occlusive Diseases - surgery</subject><subject>Blood Vessel Prosthesis</subject><subject>Celiac Artery - surgery</subject><subject>Cœliac artery stenosis or occlusion</subject><subject>Duodenum - blood supply</subject><subject>Female</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Pancreas - blood supply</subject><subject>Pancreaticoduodenal artery aneurysm</subject><subject>Segmental arterial mediolysis (SAM)</subject><subject>Splenectomy</subject><subject>Splenic Artery - surgery</subject><subject>Visceral aneurysm</subject><issn>1078-5884</issn><issn>1532-2165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc9u1DAQxi1ERf_AC3BAPnFLsON1EiMu0aq0SCsVleVsee2J1qvEXmyn1T4HL8GL8F512EVIPeDLWKPf92lmPoTeUlJSQusPuxJ2D7GsCFmURJSEkhfognJWFRWt-cv8J01b8LZdnKPLGHeEEE4Zf4XOKa8XomHVBfq1DqDSCC5h3-P1NgDgr8rpuWu1N5M34NSAu5AgHHDnYAqHOEbcxei1VQkMfrRpi5e_f66s0n_BO62HKVrvsHIGf9sP4Kx-7vIRd3ipIuB72PuQ_qD38GDhcR4mbQGvbBaoNAV4jc56NUR4c6pX6Pvn6_Xytljd3XxZdqtCM9GmojGbvqFVbVRNhKlpXhI2igPjXOWn20b0fc-EEjWZu6bJ5EKYFtqWEaLZFXp_9N0H_2OCmORoo4ZhUA78FGXdMN4wQTNYHUEdfIwBerkPdlThICmRcz5yJ-d85JyPJELmfLLo3cl92oxg_klOgWTg0xGAvGO-RJBRW3AajA2gkzTe_s__CQHppYo</recordid><startdate>20050201</startdate><enddate>20050201</enddate><creator>Jibiki, M.</creator><creator>Inoue, Y.</creator><creator>Iwai, T.</creator><creator>Sugano, N.</creator><creator>Igari, T.</creator><creator>Koike, M.</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20050201</creationdate><title>Treatment of Three Pancreaticoduodenal Artery Aneurysms Associated with CœLiac Artery Occlusion and Splenic Artery Aneurysm: A Case Report and Review of the Literature</title><author>Jibiki, M. ; Inoue, Y. ; Iwai, T. ; Sugano, N. ; Igari, T. ; Koike, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c398t-7dbf7126da609d61732eba5e355aaaac879fff39a9605e35d7da649d8e88300c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Aneurysm - diagnosis</topic><topic>Aneurysm - surgery</topic><topic>Arterial Occlusive Diseases - diagnosis</topic><topic>Arterial Occlusive Diseases - surgery</topic><topic>Blood Vessel Prosthesis</topic><topic>Celiac Artery - surgery</topic><topic>Cœliac artery stenosis or occlusion</topic><topic>Duodenum - blood supply</topic><topic>Female</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Pancreas - blood supply</topic><topic>Pancreaticoduodenal artery aneurysm</topic><topic>Segmental arterial mediolysis (SAM)</topic><topic>Splenectomy</topic><topic>Splenic Artery - surgery</topic><topic>Visceral aneurysm</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jibiki, M.</creatorcontrib><creatorcontrib>Inoue, Y.</creatorcontrib><creatorcontrib>Iwai, T.</creatorcontrib><creatorcontrib>Sugano, N.</creatorcontrib><creatorcontrib>Igari, T.</creatorcontrib><creatorcontrib>Koike, M.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of vascular and endovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jibiki, M.</au><au>Inoue, Y.</au><au>Iwai, T.</au><au>Sugano, N.</au><au>Igari, T.</au><au>Koike, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of Three Pancreaticoduodenal Artery Aneurysms Associated with CœLiac Artery Occlusion and Splenic Artery Aneurysm: A Case Report and Review of the Literature</atitle><jtitle>European journal of vascular and endovascular surgery</jtitle><addtitle>Eur J Vasc Endovasc Surg</addtitle><date>2005-02-01</date><risdate>2005</risdate><volume>29</volume><issue>2</issue><spage>213</spage><epage>217</epage><pages>213-217</pages><issn>1078-5884</issn><eissn>1532-2165</eissn><abstract>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.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>15649732</pmid><doi>10.1016/j.ejvs.2004.09.010</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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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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