Management of aneurysms involving branches of the celiac and superior mesenteric arteries: A comparison of surgical and endovascular therapy

Sachdev, Ulka; Baril, Donald T.; Ellozy, Sharif H.; Lookstein, R.; Silverberg, Daniel; Jacobs, Tikva S.; Carroccio, Alfio; Teodorescu, Victoria; Marin, Michael L.

doi:10.1016/j.jvs.2006.06.027

Cited by 193 publications

(173 citation statements)

References 23 publications

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“…technique can be particularly beneficial for treatment of VAA in patients with comorbidities, 7,8) whereas, surgical resection of the aneurysm can achieve the prevention of rupture with certainty, and is also an effective treatment. 9) In this case, surgical resection of the aneurysm was performed but endovascular treatment was not for the following reason: subacute phase dissecting lesions remained at the abdominal aorta, especially around the orifices of the celiac artery, SMA and renal arteries.…”

Section: Disclosure Statementmentioning

confidence: 99%

Pancreaticoduodenal Artery Pseudoaneurysm Caused by Segmental Arterial Mediolysis: A Case Report of Surgical Treatment

Ushijima

Izumo

Matsumoto

et al. 2013

Annals of Vascular Diseases

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A 64-year-old woman underwent surgical resection of a posterior inferior pancreaticoduodenal arterial aneurysm in the subacute phase of acute aortic dissection (AAD). Concomitantly, a distal pancreatectomy was also required. The aneurysm was approximately 20 mm in diameter. Surgical resection of the aneurysm was performed because endovascular treatment was considered to be technically difficult due to dissecting lesions that had remained at the abdominal aorta. Histopathological findings suggested this aneurysm to be a pseudoaneurysm, which had arisen as a result of segmental arterial mediolysis. Approximately 1 year after surgery, no recurrence of the aneurysms was detected.

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Section: Disclosure Statementmentioning

confidence: 99%

Pancreaticoduodenal Artery Pseudoaneurysm Caused by Segmental Arterial Mediolysis: A Case Report of Surgical Treatment

Ushijima

Izumo

Matsumoto

et al. 2013

Annals of Vascular Diseases

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“…4,[6][7][8]21 For example, Marone et al have reported that the overall 10-year survival rate after the treatment of VA is 68%. 8 …”

Section: Discussionmentioning

confidence: 99%

“…4,5 SMAA is commonly located in the proximal part of the SMA, 4,6 which is suitable for endovascular treatment (ET). 7,8 Here, we report a rare case of SMAA associated with Takayasu's arteritis (TA), located in the distal part of the SMA and treated by surgical resection using the mini-laparotomy method.…”

mentioning

confidence: 99%

Mini-Laparotomy for Superior Mesenteric Artery Aneurysm Due to Takayasu's Arteritis

Matsumoto

Ishizuka

Iso

et al. 2015

International Surgery

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Superior mesenteric artery aneurysm (SMAA) is reported to be the third-most common type of visceral aneurysm (VA), accounting for 5% of all VAs. The etiology of SMAA is commonly thought to be infection, and it usually exists in the proximal part of the superior mesenteric artery, which is suitable for endovascular treatment. We herein report an extremely rare case of the distal part of SMAA caused by Takayasu's arteritis (TA), which was successfully resected using a mini-laparotomy method without impairing the intestinal blood supply. A 51-year-old woman was admitted to our hospital with sustained fever and lower back pain. Physical examination showed that she had a discrepancies in blood pressure between both arms. Contrast-enhanced wholebody computed tomography showed stenosis of the thoracic aorta and an aneurysm located in the distal part of the superior mesenteric artery. The diameter of the aneurysm was 4.5 cm. The aneurysm was resected via 4-cm mini-laparotomy, and the vascularity of the intestine was successfully preserved. The postoperative course was uneventful, and the patient was diagnosed as having TA based on both clinical and pathologic findings. Additional corticosteroid therapy was started to treat the arteritis, and at 3-month followup she was without critical incidents. Mini-laparotomy is a safe and less-invasive approach to treat SMAA, especially when the lesion is located in the distal part of the artery.

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“…Endovascular options include embolization of the aneurysms or stent graft deployment 8 . Some anatomical conditions are required though for technical feasibility of these procedures (saccular aneurysm with a narrow neck, fusiform aneurysm with adequate collateral flow, aneurysm of a vessel supplying an organ that has multiple arterial sources).…”

Section: Treatmentmentioning

confidence: 99%

“…Some anatomical conditions are required though for technical feasibility of these procedures (saccular aneurysm with a narrow neck, fusiform aneurysm with adequate collateral flow, aneurysm of a vessel supplying an organ that has multiple arterial sources). 8 Even though this less aggressive option plays an important role in high risk surgical candidates, it has its potential complications such as visceral ischemia resulting in sacrifice of the involved visceral vessel, end-organ thrombosis, and late-term vessel recanalization. Trans catheter embolization is the most popular endovascular intervention performed despite the potential risk of visceral ischemia and organ infarction.…”

Section: Treatmentmentioning

confidence: 99%

Gastroduodenal Artery Pseudoaneurysm Due to Pancreatitis

Ghasura¹,

Patil²,

Prajapati³

et al. 2014

jemds

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Gastroduodenal artery (GDA) aneurysms are rare but a potentially fatal condition if rupture occurs. They represent about 1.5% of all visceral artery (VAA) aneurysms and are divided into true and pseudoaneurysms depending on the etiologic factors underlying their development. Atherosclerosis and pancreatitis are the two most common risk factors. Making the diagnosis can be complex and often requires the use of Computed Tomography and angiography. The latter adds the advantage of being a therapeutic option to prevent or stop bleeding. If this fails, surgery is still regarded as the standard for accomplishing a definite treatment.

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Management of aneurysms involving branches of the celiac and superior mesenteric arteries: A comparison of surgical and endovascular therapy

Cited by 193 publications

References 23 publications

Pancreaticoduodenal Artery Pseudoaneurysm Caused by Segmental Arterial Mediolysis: A Case Report of Surgical Treatment

Pancreaticoduodenal Artery Pseudoaneurysm Caused by Segmental Arterial Mediolysis: A Case Report of Surgical Treatment

Mini-Laparotomy for Superior Mesenteric Artery Aneurysm Due to Takayasu's Arteritis

Gastroduodenal Artery Pseudoaneurysm Due to Pancreatitis

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