A minimally invasive approach for management of pancreaticoduodenal artery and gastroduodenal artery aneurysm with celiac artery occlusion.

Abstract

Management of pancreaticoduodenal artery aneurysms (PDAAs) and gastroduodenal artery aneurysms (GDAAs) with concomitant celiac occlusion represents a challenging clinical scenario. Here, we describe a 62-year-old female with PDAA and GDAA complicated by celiac artery occlusion due to median arcuate ligament syndrome. We used a staged, minimally invasive approach consisting of: (1) a robotic median arcuate ligament release; (2) endovascular celiac artery stenting; and (3) visceral aneurysm coiling. The findings from this case report represent a novel treatment strategy for the management of PDAA/GDAA with celiac artery compression secondary to median arcuate ligament syndrome.

• Authors: Kaileen Fei, Sabino Zani Jr, James S Ronald, Cynthia K Shortell, Kevin W Southerland
• Journal: Journal of vascular surgery cases and innovative techniques (J Vasc Surg Cases Innov Tech) Vol. 9 Issue 3 Pg. 101180 (Sep 2023) ISSN: 2468-4287 [Print] United States
• PMID: 37388670 (Publication Type: Case Reports)
• Copyright: © 2023 Published by Elsevier Inc. on behalf of Society for Vascular Surgery.