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- Title
Optimal Treatment for Ruptured Pancreaticoduodenal Artery Aneurysm Caused by Celiac Artery Obstruction Due to Celiac Artery Dissection.
- Authors
Otsuka, Hiroyuki; Sato, Toshiki; Aoki, Hiromichi; Nakagawa, Yoshihide; Inokuchi, Sadaki
- Abstract
A pancreaticoduodenal artery (PDA) aneurysm develops due to increased flow through the pancreaticoduodenal arcade in the setting of celiac or superior mesenteric artery occlusion. Additionally, there is no evidence on the computed tomography scan or angiography images that the dissection process extends to the PDA arcade. Moreover, the optimal treatment protocols for PDA aneurysms with celiac artery obstruction and for celiac artery dissection are controversial. We report 2 cases of ruptured PDA aneurysms caused by celiac artery obstruction due to celiac artery dissection in which the aneurysm was excluded, but celiac artery revascularization was not performed successfully. Our cases indicate that endovascular management for ruptured PDA aneurysms and conservative management for celiac artery obstruction due to celiac artery dissection are feasible as first-line treatment in such cases.
- Subjects
ANEURYSM surgery; ANEURYSMS; ARTERIAL occlusions; ENDOVASCULAR surgery; CELIAC artery; HUMAN dissection; PANCREATIC diseases; RUPTURED aneurysms; VETERINARY dissection; TREATMENT effectiveness; REVASCULARIZATION (Surgery); DISEASE complications; SURGERY
- Publication
Vascular & Endovascular Surgery, 2018, Vol 52, Issue 8, p648
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574418784691