The Society for Vascular Surgery clinical practice guidelines on the management of visceral aneurysms

Symptomatic pancreaticoduodenal artery aneurysm with coeliac artery occlusion repaired by ligation of aneurysm and creation of neocoeliac trunk

“…The Society for Vascular Surgery has published guidelines for management of visceral arterial aneurysms and they have advised to treat all aneurysms arising from pancreaticoduodenal arcade irrespective of symptoms due to high risk of rupture. In the presence of coeliac artery occlusion, ligation or embolization of an aneurysm might had fatal outcome in the form of hepatic ischaemia and even mortality, further not addressing the occlusion can lead to recurrences 9,10 . Endovascular embolization of aneurysm has been successfully reported, but in view of occlusion of coeliac trunk due to median arcuate ligament syndrome, ligation of aneurysm with hepatic artery revascularization was preferred as published by Bonardelli et al 10 …”

Successful Repair of Superior Mesenteric Artery Aneurysm with Reconstruction of Branches

“…2) Given the high incidence and mortality of ruptured SMAAs, they should be immediately treated upon diagnosis, regardless of the size. 1,3) In the present case, the etiology of aneurysmal change was likely to be associated with dissection with unclear onset. The presence of SMA dissection does not indicate repair in itself, but the aneurysmal change required intervention.…”

Presentation and management of rare saccular superior mesenteric artery trunk and branch aneurysms

“…In all scenarios, end-organ resection is considered if perfusion to the small or large intestines is thought to be jeopardized 5 . Only recently, the Society of Vascular Surgery released guidelines pertaining to the diagnosis, management, and follow-up of visceral arterial aneurysms, including SMAA 6 . We aim to present a single institution's experience with aneurysms of the SMA or its branches.…”