Surgical treatment of pancreaticoduodenal artery aneurysm combined with celiac trunk occlusion

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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

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