Ilio-Hepatic Artery Bypass for Hypoplasia of the Celiac Axis and Its Branches with an Inferior Pancreaticoduodenal Artery Aneurysm

• Published in: Annals of Vascular Diseases Vol. 14; no. 3; pp. 270 - 272
• Main Authors: Nemoto, Masaru, Watanabe, Tatsuki, Tadokoro, Yu, Takayama, Yutaka, Yamamoto, Junji
• Format: Journal Article
• Language: English
• Published: Italian Cultural Institute Building 8F, Kudan-Minami 2-1-30, Chiyoda-ku, Tokyo 102-0074, Japan The Editorial Committee of Annals of Vascular Diseases 25.09.2021; Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology
• Subjects: Case Report; hypoplasia; ilio-hepatic artery bypass; inferior pancreaticoduodenal artery aneurysm
• ISSN: 1881-641X; 1881-6428
• DOI: 10.3400/avd.cr.21-00059

Hemorrhage due to a ruptured pancreaticoduodenal artery aneurysm is potentially fatal. We describe a case of a 51-year-old man, incidentally diagnosed with an inferior pancreaticoduodenal artery aneurysm associated with probable congenital hypoplasia of the celiac axis and its branches. Considering the rupture risk, we performed an ilio-hepatic artery bypass with an autologous vein graft and aneurysmorrhaphy. The postoperative course was uneventful. At the 24-month follow-up, the bypass was patent, with no aneurysm recurrence. The ilio-hepatic artery bypass is effective and preserves visceral blood flow. However, the iliac artery is susceptible to occlusive disease, and long-term follow-up is required.