Superior Mesenteric Artery–Pancreaticoduodenal Arcade Bypass Grafting for Repair of Inferior Pancreaticoduodenal Artery Aneurysm with Celiac Axis Occlusion

We report a case of an aneurysm of the inferior pancreaticoduodenal artery (IPDA), with chronic occlusion of the celiac axis. Both surgical aneurysmectomy and endovascular coil embolization were anticipated to sacrifice IPDA, which could lead to severe acute ischemia in the celiac region. The treatm...

Full description

Saved in:
Bibliographic Details
Published inAnnals of Vascular Diseases Vol. 11; no. 1; pp. 153 - 157
Main Authors Murata, Akira, Amaya, Koji, Mochizuki, Kentaro, Sotokawa, Masami, Otaka, Shingo, Tani, Kazuhiro, Nakagaki, Shota, Ueda, Tetsuyuki
Format Journal Article
LanguageEnglish
Published Japan The Editorial Committee of Annals of Vascular Diseases 25.03.2018
Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology
Subjects
Case Report
celiac axis occlusion
pancreaticoduodenal arcade
pancreaticoduodenal artery aneurysm
pancreaticoduodenal arcade
pancreaticoduodenal artery aneurysm
celiac axis occlusion
Online AccessGet full text

Cover

More Information
Summary:We report a case of an aneurysm of the inferior pancreaticoduodenal artery (IPDA), with chronic occlusion of the celiac axis. Both surgical aneurysmectomy and endovascular coil embolization were anticipated to sacrifice IPDA, which could lead to severe acute ischemia in the celiac region. The treatment involved surgical ligation of the aneurysm after bypass grafting from the superior mesenteric artery to the anterior IPDA. A postoperative computed tomography revealed no enhancement of the aneurysm and sufficient collateral blood supply by the patent bypass graft.
ISSN:1881-641X
1881-6428
DOI:10.3400/avd.cr.17-00113