Superior Mesenteric Artery–Pancreaticoduodenal Arcade Bypass Grafting for Repair of Inferior Pancreaticoduodenal Artery Aneurysm with Celiac Axis Occlusion

Akira Murata; Koji Amaya; Kentaro Mochizuki; Masami Sotokawa; Shingo Otaka; Kazuhiro Tani; Shota Nakagaki; Tetsuyuki Ueda

doi:10.3400/avd.cr.17-00113

This article has now been updated. Please use the final version.

Superior Mesenteric Artery–Pancreaticoduodenal Arcade Bypass Grafting for Repair of Inferior Pancreaticoduodenal Artery Aneurysm with Celiac Axis Occlusion

Akira Murata , Koji Amaya, Kentaro Mochizuki, Masami Sotokawa, Shingo Otaka, Kazuhiro Tani, Shota Nakagaki, Tetsuyuki Ueda

Author information

Akira Murata Corresponding author
Department of Cardiovascular Surgery, Toyama Prefectural Central Hospital
Koji Amaya
Department of Surgery, Toyama Prefectural Central Hospital
Kentaro Mochizuki
Department of Radiology, Toyama Prefectural Central Hospital
Masami Sotokawa
Department of Cardiovascular Surgery, Toyama Prefectural Central Hospital
Shingo Otaka
Department of Cardiovascular Surgery, Toyama Prefectural Central Hospital
Kazuhiro Tani
Department of Cardiovascular Surgery, Toyama Prefectural Central Hospital
Shota Nakagaki
Department of Cardiovascular Surgery, Toyama Prefectural Central Hospital
Tetsuyuki Ueda
Department of Cardiovascular Surgery, Toyama Prefectural Central Hospital

Keywords: pancreaticoduodenal artery aneurysm, celiac axis occlusion, pancreaticoduodenal arcade

JOURNAL OPEN ACCESS Advance online publication

Article ID: cr.17-00113

DOI https://doi.org/10.3400/avd.cr.17-00113

The final version of this article is now available: Vol. 11 (2018), No. 1 pp. 153-157

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Abstract

We report a case of an aneurysm of the inferior pancreaticoduodenal artery (IPDA), with chronic occlusion of the celiac axis. Both surgical aneurysmectomy and endovascular coil embolization were anticipated to sacrifice IPDA, which could lead to severe acute ischemia in the celiac region. The treatment involved surgical ligation of the aneurysm after bypass grafting from the superior mesenteric artery to the anterior IPDA. A postoperative computed tomography revealed no enhancement of the aneurysm and sufficient collateral blood supply by the patent bypass graft.

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