2023 Volume 52 Issue 4 Pages 278-282
A 62-year-old woman presented with impending rupture of the celiac artery aneurysm. The enhanced CT revealed two aneurysms in the celiac artery, one 18 mm with prominent lesion on the proximal side and the other 12 mm on the distal site, and increased CT value around the aneurysms. There was poor development of collateral blood circulation from the superior mesenteric artery to the hepatic artery. Coil embolization for celiac artery aneurysms was the preferred approach due to the risk of the injury to the aneurysms. Insufficient collateral circulation from the superior mesenteric artery indicated that bypass to the hepatic artery and splenic artery were necessary. The bypass grafting from the abdominal aorta to the hepatic artery and splenic artery was performed using the great saphenous vein, and coil embolization was then performed on the celiac artery aneurysm. Postoperative CT showed that the grafts were patent and there was no blood flow in the celiac aneurysm. If endovascular treatment alone or surgical treatment alone is not feasible, the hybrid treatment of surgical revascularization and coil embolization of the celiac aneurysm can provide a relatively safe and minimally invasive treatment for celiac artery aneurysms.
