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

Abstract
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.
AuthorsNina M Bowens, Edward Y Woo, Ronald M Fairman
JournalJournal of vascular surgery (J Vasc Surg) Vol. 53 Issue 6 Pg. 1696-8 (Jun 2011) ISSN: 1097-6809 [Electronic] United States
PMID21514771 (Publication Type: Case Reports, Journal Article)
CopyrightCopyright © 2011 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
Topics
  • Aged
  • Anastomosis, Surgical
  • Aneurysm (diagnostic imaging, surgery)
  • Angiography
  • Arterial Occlusive Diseases (diagnostic imaging, surgery)
  • Celiac Artery
  • Hepatic Artery (surgery)
  • Humans
  • Male
  • Renal Artery (surgery)
  • Tomography, X-Ray Computed
  • Vascular Surgical Procedures

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