Aneurysm of the Gastroduodenal Artery Associated With Stenosis of the Superior Mesenteric Artery

Gouny, P; Fukui, Sumio; Aymard, A; B, Decaix; Mory, H.; Merland, J J; Nussaume, O

doi:10.1007/bf02018176

Cited by 26 publications

(17 citation statements)

References 12 publications

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“…Atherosclerosis is the main predisposing factor, while trauma, ulcer disease, pancreatitis, and stenosis of the superior mesenteric artery may also be the cause [1,7]. Other uncommon etiologies are autoimmune diseases and absence of the celiac axis [6,8].…”

Section: Discussionmentioning

confidence: 99%

Stenting of a gastroduodenal artery aneurysm: report of a case

et al. 2011

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We present a case of gastroduodenal artery stenting in a patient with recurrent episodes of pancreatitis due to gastroduodenal artery aneurysm. Stenting was performed under local anesthesia using a 6 × 38-mm primary covered Advanta V12 vascular stent graft. The procedure was successful and the patient is asymptomatic 21 months later. Endovascular treatment of gastroduodenal artery aneurysm should be considered a promising alternative to open surgery, due to lower mortality and morbidity.

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Section: Discussionmentioning

confidence: 99%

Stenting of a gastroduodenal artery aneurysm: report of a case

et al. 2011

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“…5 The same theory suggests that occlusion or stenosis of the SMA or celiac axis could be an etiologic factor predisposing to the formation of a gastroduodenal artery aneurysm, although there are few reports on this association. 2,3, 6 We speculate that the aneurysm in our patient was caused primarily by the increase in blood flow compensating for the celiac axis occlusion, rather than by atherosclerosis, first, because atherosclerosis of the aneurysm sac was not severe for her age, and second, because the gastroduodenal and pancreaticoduodenal arteries were dilated and elongated. A further point of interest in this case was the etiology of the celiac axis occlusion.…”

Section: Discussionmentioning

confidence: 89%

“…2,3 For patients with stenosis of the celiac artery or SMA, transluminal angioplasty would be one way of avoiding the risk of organ ischemia before or after surgical resection of the aneurysm or transluminal embolization. 6,11 The most appropriate treatment for splanchnic artery aneurysms should be decided for each individual case, considering factors such as the general condition of the patient, the risk of organ ischemia after aneurysm resection, and whether the aneurysm is ruptured or intact.…”

Section: Discussionmentioning

confidence: 99%

Aneurysm of the Gastroduodenal Artery Associated with Absence of the Celiac Axis: Report of a Case

et al. 2004

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A 65-year-old woman was referred to us for treatment of an aneurysm, found incidentally by abdominal ultrasonography. Angiography demonstrated a saccular aneurysm of the gastroduodenal artery and absence of blood flow from the celiac axis. The blood flow in the hepatic artery, splenic artery, and other arteries originating from the celiac axis was supplied by the superior mesenteric artery through one dilated and elongated pancreaticoduodenal artery and the gastroduodenal artery. The aneurysm was resected, and the inflow and outflow arteries were reconstructed with end-to-end anastomoses. Pathologic examination of the aneurysm sac showed diffuse intimal thickening with focal atheromas. We speculate that the increased blood flow compensating for the absence of blood flow from the celiac axis was an etiologic factor predisposing to the formation of this gastroduodenal artery aneurysm.

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“…A high flow state in a collateral artery between two intestinal arteries, one of which is occluded or stenotic, can also cause aneurysmal formation [10]. However, a mechanism of spontaneous rupture of visceral artery aneurysms has not been reported.…”

Section: Discussionmentioning

confidence: 98%

“…The topography of the aneurysm and the size of the artery may occasionally make it more difficult to reestablish vascular continuity, which is not mandatory when multiple anastomotic pathways are present. Several interventional techniques (transcatheter transluminal embolization with injection of coils or glue into the aneurysm) [7,8] have been used for the successful treatment of patients with aneurysms of visceral arteries, especially of patients at high risk for surgical treatment [10].…”

Section: Discussionmentioning

confidence: 99%