CLINICAL CASES   

Giornale Italiano di Chirurgia Vascolare 2000 March;7(1):45-52

Copyright © 2001 EDIZIONI MINERVA MEDICA

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

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.