Aorto-gastroduodenal bypass grafting for an inferior pancreaticoduodenal aneurysm and celiac trunk thrombosis☆

Ritter, Jens Carsten; Johnston, Malcolm C.; Caruana, Mario F.; Laws, Peter

doi:10.1510/icvts.2009.219949

Cited by 16 publications

(15 citation statements)

References 10 publications

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“…13,14 Surgery remains the gold standard for complex cases where revascularization is indicated to maintain collateral flow to the abdominal viscera. [15][16][17] Moreover, reno-hepatic artery bypass for the treatment of inferior PDA aneurysms with complex anatomy may be considered as a strategy to avoid the complications associated with aortic cross clamping. …”

Section: Discussionmentioning

confidence: 99%

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

Bowens

Woo

Fairman

2011

Journal of Vascular Surgery

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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.

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Section: Discussionmentioning

confidence: 99%

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

Bowens

Woo

Fairman

2011

Journal of Vascular Surgery

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“…Another option is performance of GDA‐preserving PD with preservation of one of the pancreaticoduodenal arcades. Though GDA preservation has been found to be safe in periampullary cancers, peripancreatic arcade preservation is not a good option in periampullary and pancreaticoduodenal malignancy .…”

Section: Pancreatic Surgerymentioning

confidence: 99%

“…3 The classical and variant branches of GDA as described in literature [3,8,18,[45][46][47][48][49] arcades. Though GDA preservation has been found to be safe in periampullary cancers, peripancreatic arcade preservation is not a good option in periampullary and pancreaticoduodenal malignancy [55][56][57]59]. GDA preservation has also been suggested when pylorus preserving PD is performed since blood supply to the duodenal stump is preserved [60].…”

Section: Gastroduodenal Arterymentioning

confidence: 99%

Gastroduodenal artery: single key for many locks

Desai

Pande

2019

J Hepato Biliary Pancreat

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Gastroduodenal artery (GDA) commonly arises from common hepatic artery, a branch of celiac axis. It holds a unique anatomical position that connects the foregut and midgut due to its intimate communications with foregut and midgut arterial supply. Its numerous anatomical variations have a significant impact on planning and performance of hepatopancreaticobiliary (HPB) surgery. Its close relation to the first part of duodenum, common bile duct and head of pancreas makes it susceptible for inadvertent bleeding during or after surgery, or due to various HPB pathologies. Also, a large number of vascular interventions rely on GDA and its branches. Careful preoperative planning is the key and a detailed knowledge and awareness of its variant anatomy is of paramount importance, be it liver resections, liver transplant, biliary and pancreatic resections and pancreatic transplant or transarterial procedures involving these arteries. GDA can also be a cause of gastrointestinal hemorrhage due to true or pseudoaneurysms and anatomy has significant implications on its management. The article provides a succinct review on relevance of GDA anatomy and variations and highlights that preoperative planning and intraoperative awareness of variations is the key to performance of safe HPB surgery and interventions.

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“…This ensured near uninterrupted retrograde supply to the celiac axis during the procedure. This is an effective, efficient and expeditious patient pathway for these rare and complex aneurysms complicated by celiac trunk involvement[11]. …”

Section: Aneurysmsmentioning

confidence: 99%