Open surgical repair of a giant celiac artery aneurysm with complex anatomy using a retrograde balloon occlusion technique

Hirotsugu Ozawa, MD; Kenjiro Kaneko, MD; Masamichi Momose, MD; Shigeki Hirayama, MD; Takao Ohki, MD, PhD

Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2023)

Open surgical repair of a giant celiac artery aneurysm with complex anatomy using a retrograde balloon occlusion technique

Hirotsugu Ozawa, MD,
Kenjiro Kaneko, MD,
Masamichi Momose, MD,
Shigeki Hirayama, MD,
Takao Ohki, MD, PhD

Affiliations

Hirotsugu Ozawa, MD: Department of Vascular Surgery, Shin-yurigaoka General Hospital, Kanagawa, Japan; Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
Kenjiro Kaneko, MD: Department of Vascular Surgery, Shin-yurigaoka General Hospital, Kanagawa, Japan; Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
Masamichi Momose, MD: Department of Vascular Surgery, Shin-yurigaoka General Hospital, Kanagawa, Japan; Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
Shigeki Hirayama, MD: Department of Vascular Surgery, Shin-yurigaoka General Hospital, Kanagawa, Japan
Takao Ohki, MD, PhD: Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan; Correspondence: Takao Ohki, MD, PhD, Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi-shimbashi, Minato-ku, Tokyo 105-8461, Japan

Journal volume & issue: Vol. 9, no. 4
p. 101112

Abstract

Read online

Several options exist for the treatment of celiac artery (CA) aneurysms (CAAs), including surgical repair and endovascular procedures. However, treatment of CAAs can be challenging owing to their proximity to the ostium of the CA and involvement of the CA branches. In the present report, we have described a case of a giant CAA extending from the proximal CA to the hepatosplenic bifurcation. Owing to the anatomic complexity of this CAA, proximal control was a major therapeutic concern. The patient underwent open aneurysmectomy using the retrograde balloon occlusion technique to control the inflow of the CAA, with a satisfactory result.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

About the journal

Abstract

Keywords