Surgical treatment of pancreaticoduodenal artery aneurysm combined with celiac trunk occlusion

The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Search result: 0

Parfenov I.P.

Veresaev Municipal Clinical Hospital

Shubin A.A.

Botkin City Clinical Hospital

Vardanyan A.V.

State Research Centre of Coloproctology

Dolidze D.D.

Botkin City Clinical Hospital;
Russian Medical Academy for Continuous Professional Education

Kovantsev S.D.

Russian Medical Academy for Continuous Professional Education

Surgical treatment of pancreaticoduodenal artery aneurysm combined with celiac trunk occlusion

Authors:

Parfenov I.P., Shubin A.A., Vardanyan A.V., Dolidze D.D., Kovantsev S.D.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(4): 64‑69

DOI: 10.17116/hirurgia202104164

Read: 2168 times

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Parfenov IP, Shubin AA, Vardanyan AV, Dolidze DD, Kovantsev SD. Surgical treatment of pancreaticoduodenal artery aneurysm combined with celiac trunk occlusion. Pirogov Russian Journal of Surgery. 2021;(4):64‑69. (In Russ.)
https://doi.org/10.17116/hirurgia202104164

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

Close metadata

Recommended articles:

A rare variant of celiac axis anatomy. Pirogov Russian Journal of Surgery. 2025;(9):123-127

Aortic root reinforcement using the «Florida Sleeve» technique and partial arch replacement in aortic insufficiency and rupture of the borderline dilated aorta. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;(6):691-694

Laparoscopic and robot-assisted approaches in abdominal aortic surgery. Endoscopic Surgery. 2025;(3):13-20

Abstract:

We report successful surgical treatment of inferior pancreaticoduodenal artery aneurysm combined with celiac trunk occlusion. Considering angioarchitectonics of the afferent and efferent arteries (significant tortuosity), possible liver ischemia during endovascular occlusion of pancreaticoduodenal artery and expected low efficiency of embolization, the patient underwent open surgery (celiac trunk replacement and resection of pancreaticoduodenal artery aneurysm). Postoperative period was uneventful. The first and subsequent postoperative controls showed an adequate function of the prosthesis and no contrast enhancement of the aneurysm. We concluded that rational surgical approach ensured optimal solution of the problem, i.e. surgical treatment of pancreaticoduodenal artery aneurysm was the most radical and functional.

Keywords:

aneurysm

occlusion

celiac trunk

pancreaticoduodenal arteries

obturation

Authors:

Parfenov I.P.

Veresaev Municipal Clinical Hospital

Shubin A.A.

Botkin City Clinical Hospital

Vardanyan A.V.

State Research Centre of Coloproctology

Dolidze D.D.

Botkin City Clinical Hospital;
Russian Medical Academy for Continuous Professional Education

Kovantsev S.D.

Russian Medical Academy for Continuous Professional Education

Received:

16.06.2020

Accepted:

25.07.2020

Close metadata

References:

Carr SC, Pearce WH, Vogelzang RL, Mc Carthy WJ, Nemcek AA & Jr Yao JS. Current management of visceral artery aneurysms. Surgery. 1996;120:627. https://doi.org/10.1016/s0039-6060(96)80009-2
Carmeci C, Wisconsin M & Mc Clenathan J. Visceral artery aneurysms as seen in a community hospital. Am J Surg. 2000;179:486-489. https://doi.org/10.1016/s0002-9610(00)00380-9
Smith JA, Macleish DG, Collier NA. Aneurysms of the visceral arteries. Aust N Z J Surg. 1989;59:329-334. https://doi.org/10.1111/j.1445-2197.1989.tb01576.x
Sabiston Text Book Of Surgery. 16 th Edition; Vascular and visceral artery aneurysm. Section 12:2209.
Stanley JC, Wakefield TW, Graham LM, Whitehouse WM Jr, Zelenock GB, Lindenaure SM. Clinical importance and management of splanchnic artery aneurysms. J Vasc Surg. 1986;3:836-840. https://doi.org/10.1016/0741-5214(86)90059-5
Beaussier M. Sur un anévrisme de l’artère splénique dont les parnis se sont ossifiees. Journal Medical Toulose. 1770;32:157.
Abbas MA, Fowl RJ, Stone WM, Panneton JM, Oldenburg WA, Bower TC, Cherry KJ, Gloviczki P. Hepatic artery aneurysm: factors that predict complications. J Vasc Surg. 2003;38:41-45. https://doi.org/10.1016/s0741-5214(03)00090-9
Lumsden AB, Mattar SG, Allen RC, Bacha EA. Hepatic Artery Aneurysms: The Management of 22 Patients. Jour Surg Res. 1986; 60:345-350. https://doi.org/10.1006/jsre.1996.0055
American College of Surgeons Committee on Trauma. Shock. In: American College of Surgeons Committee on Trauma. Advanced Trauma Life Support Program for Doctors. Chicago, IL: The American College of Surgeons. 1997:87-107.
Tori M, Nakahara M, Akamatsu H, Ueshima S, Shimizu M, Nakao K. Significance of intraoperative monitoring of arterial blood flow velocity and hepatic venous oxygen saturation for performing minimally invasive surgery in a patient with multiple calcified pancreaticoduodenal aneurysms with celiac artery occlusion. J Hepatobiliary Pancreat Surg. 2006;13(5):472-476. https://doi.org/10.1007/s00534-006-1105-5
Takeuchi H, Isobe Y, Hayashi M, et al. Ruptured pancreaticoduodenal artery aneurysm with acute gangrenous cholecystitis: a case report and review of the literature. Hepatogastroenterology. 2004;51(56):368-371.
Ogino H, Sato Y, Banno T, Arakawa T, Hara M. Embolization in a patient with ruptured anterior inferior pancreaticoduodenal arterial aneurysm with median arcuate ligament syndrome. Cardiovasc Intervent Radiol. 2002;25(4):318-319. https://doi.org/10.1007/s00270-001-0109-4
Suzuki K, Kashimura H, Sato M, et al. Pancreaticoduodenal artery aneurysms associated with celiac axis stenosis due to compression by median arcuate ligament and celiac plexus. J Gastroenterol. 1998;33(3):434-438. https://doi.org/10.1007/s005350050109
Ducasse E, Roy F, Chevalier J, et al. Aneurysm of the pancreaticoduodenal arteries with a celiac trunk lesion: current management. J Vasc Surg. 2004;39(4):906-911. https://doi.org/10.1016/j.jvs.2003.09.049
Akatsu T, Hayashi S, Yamane T, Yoshii H, Kitajima M. Emergency embolization of a ruptured pancreaticoduodenal artery aneurysm associated with the median arcuate ligament syndrome. J Gastroenterol Hepatol. 2004;19(4):482-483. https://doi.org/10.1111/j.1440-1746.2004.03385.x
Sugiyama K, Takehara Y. Analysis of five cases of splanchnic artery aneurysm associated with coeliac artery stenosis due to compression by the median arcuate ligament. Clin Radiol. 2007;62(7):688-693. https://doi.org/10.1016/j.crad.2007.02.002
Ignashov AM, Grinev KM, Kanaev AI, Perley VE, Petrova SN. Aneurysms of the pancreaticoduodenal artery in association with stenosis or occlusion of the celiac trunk. Vestnik khirurgii imeni I.I. Grekova. 2005;164(1):105-110. (In Russ.).
Tarazov PG, Ignashov AM, Pavlovskij AV, Novikova AS. Pancreaticoduodenal artery aneurysm associated with celiac axis stenosis: combined angiographic and surgical treatment. Dig Dis Sci. 2001;46(6):1232-1235. https://doi.org/10.1023/a:1010659111892
Ikeda O, Tamura Y, Nakasone Y, Kawanaka K, Yamashita Y. Coil embolization of pancreaticoduodenal artery aneurysms associated with celiac artery stenosis: report of three cases. Cardiovasc Intervent Radiol. 2007;30(3):504-507. https://doi.org/10.1007/s00270-006-0083-y
Hulsberg P, Garza-Jordan L, Jordan R, Matusz P, Tubbs RS, Loukas M. Hepatic aneurysm: a review. Am Surg. 2011;77(5):586-591.
Sutton D, Lawton G. Coeliac stenosis or occlusion with aneurysm of the collateral supply. Clin Radiol. 1973;24:49-53. https://doi.org/10.1016/s0009-9260(73)80114-x
De Perrot M, Berney T, Deleaval J, et al. Management of true aneurysms of the pancreaticoduodenal arteries. Ann Surg. 1999;229: 416-420.
Paty PS, Cordero JA, Darling RC, et al. Aneurysms of the pancreaticoduodenal artery. J Vasc Surg. 1996;23:710-713. https://doi.org/10.1016/s0741-5214(96)80054-1
Ritter JC, Johnston M, Caruana MF, et al. Aortogastroduodenal bypass grafting for an inferior pancreaticoduodenal aneurysm and celiac trunk thrombosis. Interact Cardiovasc Thorac Surg. 2010;10:125-127. https://doi.org/10.1510/icvts.2009.219949
Quandalle P, Chambon JP, Marache P, et al. Pancreaticoduodenal artery aneurysms associated with celiac axis stenosis: report of two cases and review of the literature. Ann Vasc Surg. 1990;4:540-545. https://doi.org/10.1016/S0890-5096(06)60835-2
Kobayashi T, Uenoyama S, Isogai S. Successful transcatheter embolisation of an inferior pancreaticoduodenal artery aneurysm associated with coeliac axis stenosis. J Gastroenterol Hepatol. 2004;19: 599-601. https://doi.org/10.1111/j.1440-1746.2003.02894.x
Kadir S, Athanasoulis CA, Yune HY, et al. Aneurysms of the pancreaticoduodenal arteries in association with celiac axis occlusion. Cardiovasc Radiol. 1978;1:173-177. https://doi.org/10.1007/BF02552029
Neschis DG, Safford SD & Golden MA. Management of pancreaticoduodenal artery aneurysms presenting as catastrophic intra-abdominal bleeding. Surgery. 1998;123:8-12.
Chiesa R, Astore D, Guzzo G, Frigerio S, Tshomba Y, Castellano R, de Moura MR, Melissano G. Visceral artery aneurysms. Ann Vasc Surg. 2005;19(1):42-48. https://doi.org/10.1007/s10016-004-0150-2
De Moya MA, Reisner AT, LaMuraglia GM, et al. Case 1-2008 — a 45-year-old man with sudden onset of abdominal pain and hypotension. N Engl J Med. 2008;358:178-186. https://doi.org/10.1056/NEJMcpc0707327
Bratby MJ, Lehmann ED, Bottomley J, et al. Endovascular embolization of visceral artery aneurysms with ethylene-vinyl alcohol (Onyx): a case series. Cardiovasc Intervent Radiol. 2006;29(6):1125-1128. https://doi.org/10.1007/s00270-005-0148-3
Calkins CM, Moore EE, Turner J, Cothren C, Burch JM. Combined modality treatment of ruptured pancreaticoduodenal artery aneurysms due to celiac artery compression. Surgery. 2004;136(5):1088-1089. https://doi.org/10.1016/j.surg.2003.11.016
Shibata T, Fujimoto Y, Jin MJ, Hiraoka M. Transcatheter arterial embolization for large pancreaticoduodenal artery aneurysm with mechanically detachable coils. Cardiovasc Intervent Radiol. 2004;27(2):169-171. https://doi.org/10.1007/s00270-003-0032-y
Bageacu S, Cuilleron M, Kaczmarek D, et al. True aneurysms of the pancreaticoduodenal artery: successful non-operative management. Surgery. 2006;139:608-616. https://doi.org/10.1016/j.surg.2005.10.015
Suzuki K, Tachi Y, Ito S, et al. Endovascular management of ruptured pancreaticoduodenal artery aneurysms associated with celiac axis stenosis. Cardiovasc Intervent Radiol. 2008;31:108. https://doi.org/10.1007/s00270-008-9343-3
Chiou AC, Josephs LG, Menzoian J.O. Inferior pancreaticoduodenal artery aneurysm: report of a case and review of the literature. J Vasc Surg. 1993;17(4):784-789. https://doi.org/10.1067/mva.1993.40412
Hildebrand P, Esnaashari H, Franke C, Bürk C, Bruch HP. Surgical management of pancreaticoduodenal artery aneurysms in association with celiac trunk occlusion or stenosis. Ann Vasc Surg. 2007;21(1):10-15. https://doi.org/10.1016/j.avsg.2006.05.001
Bellosta R, Luzzani L, Carugati C, Melloni C, Sarcina A. Pancreaticoduodenal artery aneurysms associated with celiac axis occlusion. Ann Vasc Surg. 2005;19(4):534-539. https://doi.org/10.1007/s10016-005-5042-6
Tien YW, Kao HL., Wang HP. Celiac artery stenting: a new strategy for patients with pancreaticoduodenal artery aneurysm associated with stenosis of the celiac artery. J Gastroenterol. 2004;39(1):81-85. https://doi.org/10.1007/s00535-003-1251-3
Uher P, Nyman U, Ivancev K, et al. Aneurysms of the pancreaticoduodenal artery associated with occlusion of the celiac artery. Abdom Imaging. 1995;20:470-473. https://doi.org/10.1007/bf0121327

Log in to the site using your account in one of the services

Registration

Last Name

Name

Middle Name

E-mail

Phone

Address

Country

Zip

City

Region

Street

Home

Apartmen

Legal entity name

ИНН

КПП

Password

Password

Repeat password

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.