학술논문
Use of selective visceral angiography in surgical strategy planning for celiac artery aneurysm in the celiacomesenteric trunk.
Document Type
Case Study
Source
Subject
*CELIAC artery
*SPLENIC artery
*HEPATIC artery
*MESENTERIC artery
*ANGIOGRAPHY
*MESENTERIC ischemia
*FALSE aneurysms
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Language
ISSN
1749-8090
Abstract
Background: The celiacomesenteric trunk (CMT) is a common duct of the celiac artery (CA) and the superior mesenteric artery originating from the aorta, which is an uncommon anatomical variant of visceral artery circulation. Because of the variety of visceral circulation in those with CMT, the visceral circulation associated with each branch should be evaluated prior to surgical treatment of visceral artery aneurysm in the CMT. Case presentation: A 64-year-old woman was diagnosed with a CA aneurysm in the CMT. Aneurysmectomy of the aneurysm was performed successfully. On preoperative selective visceral angiography, the CA was seen to bifurcate into the common hepatic and splenic artery. The left gastric artery was directly isolated from the aorta and perfused to the common hepatic and splenic artery through collateral circulation. These findings showed that celiac artery embolization is anatomically feasible, even in cases of celiac artery aneurysm rupture. Conclusions: Selective visceral angiography can contribute to surgical strategy planning for CA aneurysm with CMT. [ABSTRACT FROM AUTHOR]