Superior Mesenteric Artery Aneurysm in a Patient with Congenital Absence of the Celiac Axis

Patetsios, Peter; Moglia, Robert; Dietz, Patrick A.

doi:10.1016/s1072-7515(02)01236-x

Cited by 4 publications

(7 citation statements)

References 2 publications

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“…19 Resection of the aneurysm with reconstitution of the mesenteric circulation via reimplantation of the pancreaticoduodenal artery to the SMA has been associated with good outcomes. 2,3,10,11 In our patient, tension with primary repair mandated a short segment vein bypass from the SMA to the pancreaticoduodenal artery. Endovascular therapy has been used for both the correction of the occlusive disease and obliteration of the aneurysm.…”

Section: Discussionmentioning

confidence: 91%

“…This case presentation represents the fourth case of a pancreaticoduodenal artery aneurysm in association with congenital absence of the celiac axis. [3][4][5] The numerous reports of unusual aneurysms of the collateral beds in association with mesenteric artery occlusion or stenosis lend continued support to the hypothesis that increased pressure and collateral flow contribute to aneurysmal development in the mesenteric circulation. Pancreaticoduodenal artery aneurysms should be treated with surgery or endovascular therapy secondary to their potential for rupture with associated high mortality.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Agenesis of the celiac axis is also extremely rare and has been reported in only four publications. [3][4][5][6] The more common congenital anomaly of a combined celiomesenteric trunk is estimated to occur in 1% of individuals. 7 Collateral flow between the SMA and the celiac axis is primarily via the gastroduodenal and inferior pancreaticoduodenal arteries and secondarily via the dorsal pancreatic and colic arteries.…”

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confidence: 99%

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Superior Mesenteric Artery Branch Aneurysm with Absence of the Celiac Trunk

Armstrong

Franklin

2006

Vascular

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Superior mesenteric artery and pancreaticoduodenal artery aneurysms are rare. Agenesis of the celiac axis has only been reported four times. The reported etiologies of superior mesenteric artery and branch artery aneurysms include infection, atherosclerosis, inflammatory processes such as pancreatitis, dissection, collagen vascular disorders, polyarteritis nodosa, and trauma. We report an aneurysm of the superior mesenteric artery (SMA) branch, the inferior pancreaticoduodenal artery, arising in a patient with congenital absence of the celiac trunk. The patient presented with intermittent left upper quadrant pain without weight loss or change in bowel habits. The aneurysm was identified on abdominal computed tomography scan with angiographic confirmation of the aberrant anatomy. The patient was treated by aneurysmectomy and pancreaticoduodenal artery reconstruction with an interposition vein graft from the SMA. The patient recovered without complications and is asymptomatic with a patent vein graft 2 years after operation.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Superior Mesenteric Artery Branch Aneurysm with Absence of the Celiac Trunk

Armstrong

Franklin

2006

Vascular

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“…Tewksbury et al follow-up revealed four cases of re-stenosis, with three successful re-interventions for a secondary patency rate of 97 % [13]. This is in keeping with the results of the COBEST trial, which reported a secondary patency of 95% at 12 months for TASC C and D treated lesions [13,18] Agenesis of the celiac axis has only been reported a few times and is also extremely rare [19][20][21][22][23]. The more common congenital anomaly of a combined celio-mesenteric trunk is estimated to occur in 1 % of individuals [19,24].…”

Section: Journal Of Vascular and Endovascular Surgery Issn 2573-4482mentioning

confidence: 53%

Endovascular Treatment of Focal Infrarenal Aortic Stenosis with Absence of the Celiac Trunk - Case Report

Reis¹

2018

J Vasc Endovasc Surg

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This case report describes a case of abdominal aortic stenotic disease treated with covered balloon-expandable stent with absence of the celiac trunk artery.Technique: Patients are selected for this strategy if they have a lesion without bifurcation involvement located at the mid segment of the infrarenal aorta or stenosis with unfavorable aortic anatomy, or severely diseased and calcified distal aorta. Conclusion:Our result in this case supports the feasibility, safety, and efficacy of stenting for stenosis of the distal infrarenal aorta.

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“…Identi cation of celiac trunk variants may avoid vascular complications during procedures or lead to target embolization in transcatheter arterial chemoembolization. Although abdominal aortic aneurysm with absence of the celiac trunk is extremely rare, complete preoperative MDCT angiographic visualization of the visceral vessels is needed to achieve vascular control of the upper abdominal aorta in patients with signi cant intraperitoneal bleeding caused by a ruptured aortic aneurysm [16][17][18]. The variants of absent celiac trunk may be decisive when planning surgical or radiological upper abdominal procedures.…”

Section: Discussionmentioning

confidence: 99%

Absence of the celiac trunk: definition, classification, MDCT angiographic findings and their probable embryological mechanisms

Mao

Tang

Jin

et al. 2019

Preprint

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Background: The aim of this study was to identify the types and prevalence of absence of the celiac trunk by using multidetector computed tomography (MDCT) angiography, and analyze their probable embryological mechanisms. Methods: A retrospective study was carried out on 2,500 abdominal MDCT angiography images. The absence of the celiac trunk was defined as that the celiac trunk is not exist, more specifically, there is not such an arterial trunk containing at least two major branches of the celiac trunk. Various types of the absence of the celiac trunk were investigated. Results: Of the 2,500 patients, 19 (0.76%) patients were identified as an absence of the celiac trunk. According to its definition and classification, the absence of the celiac trunk could be divided into five types: type I (LGA + CHA + SA + SMA), type II (HM trunk + LGA + SA), type III (SM trunk + LGA + CHA), type IV (GM trunk + CHA + SA), and type V (other type); and these types were observed in 5 patients (0.20%), 9 patients (0.36%), 3 patients (0.12%), 0 patients (0.00%) and 2 (0.08%) patients, respectively. There were more examples of the types I and II than of the types III–V (P = 0.004). Conclusions: We systematically classified the absence of the celiac trunk based on its MDCT angiography findings. Abnormal interruptions and persistence of the longitudinal anastomosis, and regression of vascular root and emergence of replaced artery could all be the embryological mechanisms of various types of the absence of the celiac trunk.

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Superior Mesenteric Artery Aneurysm in a Patient with Congenital Absence of the Celiac Axis

Cited by 4 publications

References 2 publications

Superior Mesenteric Artery Branch Aneurysm with Absence of the Celiac Trunk

Superior Mesenteric Artery Branch Aneurysm with Absence of the Celiac Trunk

Endovascular Treatment of Focal Infrarenal Aortic Stenosis with Absence of the Celiac Trunk - Case Report

Absence of the celiac trunk: definition, classification, MDCT angiographic findings and their probable embryological mechanisms

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