Znaniecki Ł, Tarnawski J, Żegleń B, Dymecki M, Gniedziejko M, Wojciechowski J. Surgical repair of a symptomatic celiac artery aneurysm with resection and end-to-end anastomosis.
J Vasc Surg Cases Innov Tech 2023;
9:101197. [PMID:
37305359 PMCID:
PMC10250160 DOI:
10.1016/j.jvscit.2023.101197]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Accepted: 03/30/2023] [Indexed: 06/13/2023] Open
Abstract
A true aneurysm of the celiac artery is a rare form of a visceral aneurysm, constituting ∼4% of visceral aneurysms. Mortality in ruptured cases is high; thus, early recognition and treatment are crucial. Recent guidelines suggest endovascular therapy; however, numerous complications are associated with endoluminal treatment. Open repair in select cases, using an individualized strategy fit for the patient's anatomy still provides excellent early and long-term results. Our patient was treated with open surgical resection and end-to-end anastomosis of the celiac and common hepatic arteries. A 43-month follow-up computed tomography angiogram revealed excellent hepatic artery patency and no pseudoaneurysm formation.
Collapse