scholarly journals Endovascular Treatment of a Dissected Celiac Trunk Aneurysm Complicated with Consequent Pseudoaneurysm: Primary Treatment and Treatment Relapse after 5 Years

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Francesco Giurazza ◽  
Mattia Silvestre ◽  
Amedeo Cervo ◽  
Franco Maglione
Keyword(s):  
Ct Scan ◽  
Hepatic Artery ◽  
Celiac Trunk ◽  
Primary Treatment ◽  
Celiac Artery ◽  
Covered Stent ◽  
Common Hepatic Artery ◽  
Endovascular Approach ◽  
The Common ◽  
Procedural Success

We report on an asymptomatic 56-year-old male with incidental diagnosis of celiac trunk aneurysm, diagnosed during an ultrasound scan performed to control polycystic kidney disease. The CT scan revealed a 3.8 cm saccular aneurysm of the celiac artery dissected in the superior wall with a consequent 4.3 cm pseudoaneurysm; we adopted an endovascular approach to exclude the lesion by catheterizing the celiac trunk and positioning a vascular plug in the common hepatic artery and a covered stent in the splenic artery; finally we fulfilled the aneurysm sac with Onyx. 30-day control CT scan revealed procedural success. Five years later he came back to our department for an aneurysm relapse in the common hepatic artery. We performed a second endovascular approach with a superselective catheterization of the pancreaticoduodenal arcade in order to exclude the lesion with Onyx and microcoils. Nowadays the patient is in good clinical conditions. Endovascular approach is a valuable method to treat visceral aneurysms; however, long-term imaging follow-up is essential to monitor the risk of relapse.

Unusual course of the common hepatic artery originating from the celiac trunk

2010 ◽  
Vol 32 (9) ◽  
pp. 883-885 ◽  
Author(s):  
Mo Jin Wang ◽  
Zhong Cheng ◽  
Rui Wang ◽  
Yuan Li ◽  
Zong Guang Zhou
Keyword(s):  
Hepatic Artery ◽  
Celiac Trunk ◽  
Common Hepatic Artery ◽  
The Common

Celiac artery aneurysm associated with atherosclerotic common hepatic artery stenosis

VASA ◽  
2005 ◽  
Vol 34 (2) ◽  
pp. 136-139 ◽  
Author(s):  
Papadimitriou ◽  
Pitoulias ◽  
Tachtsi ◽  
Aslanidou ◽  
Lazaridis ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Hepatic Artery ◽  
Artery Aneurysm ◽  
Celiac Artery ◽  
Common Hepatic Artery ◽  
Atherosclerotic Stenosis ◽  
Elective Repair ◽  
Risk Of Rupture ◽  
Celiac Artery Aneurysm ◽  
The Common

Celiac artery aneurysms are rare vascular lesions and represent 4% of all splanchnic aneurysms. Media degeneration and atherosclerosis are the most common underlying etiologic factors. The risk of rupture and the associated mortality rate are 13% and 40% respectively. In contrast, elective repair carries a low mortality rate of 5%. Most of celiac artery aneurysms are asymptomatic and in the past nearly 80% of the cases were diagnosed when ruptured. Recently, there is an increased recognition of all splanchnic aneurysm types, probably because of better diagnostic techniques. We report a case of celiac artery aneurysm with severe atherosclerotic stenosis of the common hepatic artery. We performed, through a midline supraumbilical laparotomy, extended partial aneurysmectomy and common hepatic artery ostium endarterectomy. For the closure we used Dacron patch. The uncomplicated postoperative patient’s course, with no evidence of liver dysfunction and excellent patency of the common hepatic artery, suggests that this technique offered good results and minimized the perioperative risk.

scholarly journals Absence of the celiac trunk and trifurcation of the common hepatic artery: a case report

2016 ◽  
Vol 15 (3) ◽  
pp. 259-262
Author(s):  
Satheesha Nayak Badagabettu ◽  
Ashwini Aithal Padur ◽  
Naveen Kumar ◽  
Deepthinath Reghunathan
Keyword(s):  
Case Report ◽  
Hepatic Artery ◽  
Rare Variant ◽  
Adult Male ◽  
Celiac Trunk ◽  
Anatomical Variations ◽  
Common Hepatic Artery ◽  
Review Of The Literature ◽  
Male Cadaver ◽  
The Common

Abstract Anatomical variations of the celiac trunk and its branches are particularly important from a surgical perspective due to their relationships with surrounding structures. We report here a particularly rare variant involving absence of the celiac trunk in association with trifurcation of the common hepatic artery. These variations were found in an adult male cadaver. We perform a review of the literature and discuss the clinical and embryological significance of these variations. Recognition of celiac trunk and hepatic artery variations is of utmost importance to surgeons and radiologists because multiple variations can lead to undue complications.

scholarly journals Endovascular Repair of Ruptured Hepatic Artery Pseudoaneurysm Secondary to Fibromuscular Dysplasia

2018 ◽  
Vol 53 (1) ◽  
pp. 66-70 ◽  
Author(s):  
Kara A. Rothenberg ◽  
Graeme E. McFarland ◽  
Jordan R. Stern
Keyword(s):  
Hepatic Artery ◽  
Rare Case ◽  
Fibromuscular Dysplasia ◽  
Case Reports ◽  
Care Center ◽  
Celiac Trunk ◽  
Covered Stent ◽  
Common Hepatic Artery ◽  
Artery Pseudoaneurysm ◽  
Hepatic Artery Pseudoaneurysm

We describe successful endovascular treatment of a patient with fibromuscular dysplasia of the celiac axis leading to development of a common hepatic artery pseudoaneurysm with contained rupture. An 81-year-old woman was transferred to our quaternary care center with concern for a hepatic artery rupture. Further imaging demonstrated a common hepatic artery pseudoaneurysm with surrounding hematoma as well as multifocal areas of narrowing and dilatation in the celiac trunk consistent with fibromuscular dysplasia. A similar pattern was subsequently identified in the bilateral renal and carotid arteries. The patient underwent successful endovascular exclusion of the pseudoaneurysm with a balloon-expandable covered stent and was discharged home without incident. Fibromuscular dysplasia is a nonatherosclerotic arteriopathy that can lead to stenosis, occlusion, dissection, and aneurysm formation. While it primarily affects the carotid and renal arteries, there are rare case reports involving the mesenteric vasculature. Endovascular therapy appears to be a feasible treatment option for the complicated sequelae of this condition in the rare case of mesenteric arterial involvement.

scholarly journals MDCT angiography of anatomical variations of the celiac trunk and superior mesenteric artery

2014 ◽  
Vol 66 (1) ◽  
pp. 233-240 ◽  
Author(s):  
Neda Ognjanovic ◽  
D. Jeremic ◽  
Ivana Zivanovic-Macuzic ◽  
Maja Sazdanovic ◽  
P. Sazdanovic ◽  
...  
Keyword(s):  
Superior Mesenteric Artery ◽  
Hepatic Artery ◽  
Mesenteric Artery ◽  
Celiac Trunk ◽  
Anatomical Variations ◽  
Common Hepatic Artery ◽  
Common Trunk ◽  
Mdct Angiography ◽  
The Common ◽  
Mdct Scanner

The aim of this study was to detect and describe the existence and incidence of anatomical variations of the celiac trunk and superior mesenteric artery. The study was conducted on 150 persons, who underwent abdominal Multi- Detector Computer Tomography (MDCT) angiography, from April 2010 until November 2012. CT images were obtained with a 64-row MDCT scanner in order to analyze the vascular anatomy and anatomical variations of the celiac trunk and superior mesenteric artery. In our study, we found that 78% of patients have a classic anatomy of the celiac trunk and superior mesenteric artery. The most frequent variation was the origin of the common hepatic artery from the superior mesenteric artery (10%). The next variation, according to frequency, was the origin of the left gastric artery direct from the abdominal aorta (4%). The arc of Buhler as an anastomosis between the celiac trunk and superior mesenteric artery, was detected in 3% of cases, as was the presence of a common trunk of the celiac trunk and superior mesenteric artery (in 3% of cases). Separate origin of the splenic artery and the common hepatic artery was present in 2% of patients. The MDCT scanner gives us an insight into normal anatomy and variations of the abdominal blood vessels, which is very important in the planning of surgical interventions, especially transplantation, as well as in the prevention of complications due to ischemia.

scholarly journals A rare anastomosis between the root of common hepatic artery and proper hepatic artery: implications for pancreaticoduodenectomy

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Takeshi Morinaga ◽  
Katsunori Imai ◽  
Keisuke Morita ◽  
Kenichiro Yamamoto ◽  
Satoshi Ikeshima ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Hepatic Artery ◽  
Pancreatic Head ◽  
Common Hepatic Artery ◽  
Arterial Flow ◽  
Anastomotic Site ◽  
Proper Hepatic Artery ◽  
Arterial Reconstruction ◽  
Hepatic Arterial Flow ◽  
The Common

Abstract Background Hepatic artery anomalies are often observed, and the variations are wide-ranging. We herein report a case of pancreatic cancer involving the common hepatic artery (CHA) that was successfully treated with pancreaticoduodenectomy (PD) without arterial reconstruction, thanks to anastomosis between the root of CHA and proper hepatic artery (PHA), which is a very rare anastomotic site. Case presentation A 78-year-old woman was referred to our department for the examination of a tumor in the pancreatic head. Contrast-enhanced computed tomography (CT) revealed a low-density tumor of 40 mm in diameter located in the pancreatic head. The involvement of the common hepatic artery (CHA), the root of the gastroduodenal artery (GDA), and portal vein was noted. Although such cases would usually require PD with arterial reconstruction of the CHA, it was thought that the hepatic arterial flow would be preserved by the anastomotic site between the root of the CHA and the PHA, even if the CHA was dissected without arterial reconstruction. PD with dissection of the CHA and PHA was safely completed without arterial reconstruction, and sufficient hepatic arterial flow was preserved through the anastomotic site between the CHA and PHA. Conclusion We presented an extremely rare case of an anastomosis between the CHA and PHA in a patient with pancreatic cancer involving the CHA. Thanks to this anastomosis, surgical resection was successfully performed with sufficient hepatic arterial flow without arterial reconstruction.

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