Reno-hepatic artery bypass for an inferior pancreaticoduodenal artery aneurysm with associated celiac occlusion

Pancreaticoduodenal artery (PDA) aneurysms are rare and often found in association with lesions of the celiac axis. We report the case of a 72-year-old morbidly obese male who presented with chronic abdominal pain and a 4.5 cm inferior PDA aneurysm with associated occlusion of the celiac axis. The p...

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Bibliographic Details
Published in:Journal of vascular surgery 2011-06, Vol.53 (6), p.1696-1698
Main Authors: Bowens, Nina M., MD, Woo, Edward Y., MD, Fairman, Ronald M., MD
Format: Article
Language:English
Subjects:
Aged
Anastomosis, Surgical
Aneurysm - diagnostic imaging
Aneurysm - surgery
Angiography
Arterial Occlusive Diseases - diagnostic imaging
Arterial Occlusive Diseases - surgery
Biological and medical sciences
Celiac Artery
Hepatic Artery - surgery
Humans
Male
Medical sciences
Renal Artery - surgery
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tomography, X-Ray Computed
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
Vascular Surgical Procedures
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Summary:Pancreaticoduodenal artery (PDA) aneurysms are rare and often found in association with lesions of the celiac axis. We report the case of a 72-year-old morbidly obese male who presented with chronic abdominal pain and a 4.5 cm inferior PDA aneurysm with associated occlusion of the celiac axis. The patient was treated successfully with right renal to common hepatic artery bypass followed by aneurysm ligation and excision. When encountered, PDA aneurysms require expeditious treatment. Precise definition of vascular anatomy and collateral flow is mandatory. While endovascular techniques may aid in management, surgery remains the most effective treatment for complex aneurysms of the pancreaticoduodenal arteries.
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2011.02.022