Unusual presentation and treatment of spontaneous celiac artery dissection

The management options of an isolated celiac artery dissection include medical, open surgical, and endovascular techniques. Which strategy is chosen depends on the severity of the dissection, collateral circulation to the liver, the patient's hemodynamic status, and the surgeon's expertise...

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Bibliographic Details
Published in:Journal of vascular surgery 2013-08, Vol.58 (2), p.491-495
Main Authors: Neychev, Vladimir, MD, PhD, Krol, Emilia, MD, Dietzek, Alan, MD
Format: Article
Language:English
Subjects:
Aged
Aneurysm, Dissecting - complications
Aneurysm, Dissecting - diagnosis
Aneurysm, Dissecting - physiopathology
Aneurysm, Dissecting - surgery
Aneurysm, Dissecting - therapy
Blood Vessel Prosthesis Implantation
Celiac Artery - diagnostic imaging
Celiac Artery - physiopathology
Celiac Artery - surgery
Embolization, Therapeutic - methods
Female
Hemorrhage - etiology
Hepatic Artery - diagnostic imaging
Hepatic Artery - physiopathology
Humans
Liver Circulation
Splanchnic Circulation
Splenic Artery - diagnostic imaging
Splenic Artery - physiopathology
Stomach - blood supply
Surgery
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography, Doppler, Color
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Summary:The management options of an isolated celiac artery dissection include medical, open surgical, and endovascular techniques. Which strategy is chosen depends on the severity of the dissection, collateral circulation to the liver, the patient's hemodynamic status, and the surgeon's expertise. We describe an unusual case of celiac artery dissection involving splenic and hepatic arteries complicated by hemorrhage. The patient was successfully treated by coil embolization of the splenic and gastric branches. Hepatic arterial blood flow was preserved with a stent graft extending from the origin of the gastroduodenal artery to the orifice of the celiac artery.
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2012.10.136