Multiple large pancreaticoduodenal artery aneurysms due to celiac artery occlusion: Combination of the aorto-hepatic bypass and coil embolization with a dual approach through both the superior mesenteric artery and bypass

Kengo Ohta, MD; Masashi Shimohira, MD; Jumpei Shoji, MD; Shiro Yoshida, MD; Taku Takaishi, MD; Mamoru Morimoto, MD; Yoichi Matsuo, MD; Tatsuhito Ogawa, MD; Hisao Suda, MD; Yuta Shibamoto, MD

Radiology Case Reports (Jan 2021)

Multiple large pancreaticoduodenal artery aneurysms due to celiac artery occlusion: Combination of the aorto-hepatic bypass and coil embolization with a dual approach through both the superior mesenteric artery and bypass

Kengo Ohta, MD,
Masashi Shimohira, MD,
Jumpei Shoji, MD,
Shiro Yoshida, MD,
Taku Takaishi, MD,
Mamoru Morimoto, MD,
Yoichi Matsuo, MD,
Tatsuhito Ogawa, MD,
Hisao Suda, MD,
Yuta Shibamoto, MD

Affiliations

Kengo Ohta, MD: Department of Radiology, Nagoya City University Graduate School of Medical Sciences, Nagoya 467-8601, Japan
Masashi Shimohira, MD: Department of Radiology, Nagoya City University Graduate School of Medical Sciences, Nagoya 467-8601, Japan; Correspondence author.
Jumpei Shoji, MD: Department of Radiology, Japanese Red Cross Nagoya Daini Hospital, Nagoya 466-8650, Japan
Shiro Yoshida, MD: Department of Radiology, Nishichita General Hospital, Tokai 477-8522, Japan
Taku Takaishi, MD: Department of Radiology, Konan Kosei Hospital, Konan 483-8704, Japan
Mamoru Morimoto, MD: Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Science, Nagoya 467-8601, Japan
Yoichi Matsuo, MD: Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Science, Nagoya 467-8601, Japan
Tatsuhito Ogawa, MD: Department of Cardiovascular Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya 467-8601, Japan
Hisao Suda, MD: Department of Cardiovascular Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya 467-8601, Japan
Yuta Shibamoto, MD: Department of Radiology, Nagoya City University Graduate School of Medical Sciences, Nagoya 467-8601, Japan

Journal volume & issue: Vol. 16, no. 1
pp. 1 – 4

Abstract

Read online

Pancreaticoduodenal artery aneurysm can occur from occlusion or stenosis of the celiac artery due to arteriosclerosis or median arcuate ligament compression. The risk of rupture of the aneurysm is independent of the aneurysmal diameter. A 78-year-old woman presented with multiple large aneurysms of the anterior superior pancreaticoduodenal artery. To preserve arterial flow to the liver, bypass grafting from the supra-celiac aorta to the common hepatic artery was performed at first. Coil embolization was successfully performed 10 days later with a dual approach through both the superior mesenteric artery and bypass. It was considered that the combination of the aorto-hepatic bypass and coil embolization was effective for the pancreaticoduodenal artery aneurysms due to celiac artery occlusion.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

About the journal

Abstract

Keywords