Celiac artery aneurysm associated with atherosclerotic common hepatic artery stenosis.
Vasa
; 34(2): 136-9, 2005 May.
Article
en En
| MEDLINE
| ID: mdl-15968898
ABSTRACT
Celiac artery aneurysms are rare vascular lesions and represent 4% of all splanchnic aneurysms. Media degeneration and atherosclerosis are the most common underlying etiologic factors. The risk of rupture and the associated mortality rate are 13% and 40% respectively. In contrast, elective repair carries a low mortality rate of 5%. Most of celiac artery aneurysms are asymptomatic and in the past nearly 80% of the cases were diagnosed when ruptured. Recently, there is an increased recognition of all splanchnic aneurysm types, probably because of better diagnostic techniques. We report a case of celiac artery aneurysm with severe atherosclerotic stenosis of the common hepatic artery. We performed, through a midline supraumbilical laparotomy, extended partial aneurysmectomy and common hepatic artery ostium endarterectomy. For the closure we used Dacron patch. The uncomplicated postoperative patient's course, with no evidence of liver dysfunction and excellent patency of the common hepatic artery, suggests that this technique offered good results and minimized the perioperative risk.
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Banco de datos:
MEDLINE
Asunto principal:
Arteriosclerosis
/
Arteria Celíaca
/
Arteria Hepática
/
Aneurisma
Tipo de estudio:
Diagnostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Humans
Idioma:
En
Año:
2005
Tipo del documento:
Article