Transplantation of a Fresh Cadaveric Iliac Homograft After Celiac Artery Aneurysmectomy

Abstract

The authors describe a case of a 34-year-old woman who presented to the ER with acute epigastric pain caused by an 8-cm celiac artery aneurysm. The patient underwent total aneurysmectomy, distal splenopancreasectomy, and reconstruction of the hepatic arterial inflow using a fresh cadaveric iliac artery homograft. The patient was discharged home on postoperative day 8 in good clinical condition. After 60 months of follow-up, the patient is well and with a patent vascular homograft. The use of a fresh cadaveric iliac homograft described here may represent an option in young patients with low operative risk undergoing visceral artery aneurysm repair.