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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY

A Journal on Vascular and Endovascular Surgery


Official Journal of the Italian Society of Vascular and Endovascular Surgery
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Giornale Italiano di Chirurgia Vascolare 2000 March;7(1):45-52

language: English, Italian

Surgical management of symptomatic celiac aneurysm associated with familial asymptomatic aortic aneurysm

Gargiulo M., Stella A., Gessaroli M., Tarantini S., Manzo L., Maffi A. M. *

From the Vascular Surgery Unit
* Operating Vascular Radiology Section Ospedale Infermi, Rimini, Italy


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The ­authors ­report a ­case of ­celiac aneu­rysm asso­ciat­ed ­with jux­ta­ren­al aor­tic aneu­rysm in a ­patient ­with a famil­ial his­to­ry of abdom­i­nal aor­tic aneu­rysm. Both aneu­rys­mat­ic ­lesions ­were man­aged ­using ­median trans­per­it­o­neal approach: ­this ­took the ­form of recon­struc­tion of the ­celiac ­axis ­using a pros­thet­ic ­graft on the hepat­ic ­artery, repo­si­tion­ing of the splen­ic ­artery and aor­to-aor­tic ­graft ­with suprar­en­al clamp­ing. Postoperative angio­gra­phy ­showed ­good paten­cy of the ­graft and ­both the hepat­ic and splen­ic arter­ies. In the dis­cus­sion the ­authors eval­u­ate the prob­lems of sur­gi­cal man­age­ment and the etiop­a­thog­e­net­ic hypoth­e­ses for ­celiac aneu­rysms asso­ciat­ed ­with abdom­i­nal aor­tic aneu­rysms.

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