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A minimally invasive approach for management of pancreaticoduodenal artery and gastroduodenal artery aneurysm with celiac artery occlusion

Management of pancreaticoduodenal artery aneurysms (PDAAs) and gastroduodenal artery aneurysms (GDAAs) with concomitant celiac occlusion represents a challenging clinical scenario. Here, we describe a 62-year-old female with PDAA and GDAA complicated by celiac artery occlusion due to median arcuate...

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Autores principales: Fei, Kaileen, Zani, Sabino, Ronald, James S., Shortell, Cynthia K., Southerland, Kevin W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10300390/
https://www.ncbi.nlm.nih.gov/pubmed/37388670
http://dx.doi.org/10.1016/j.jvscit.2023.101180
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author Fei, Kaileen
Zani, Sabino
Ronald, James S.
Shortell, Cynthia K.
Southerland, Kevin W.
author_facet Fei, Kaileen
Zani, Sabino
Ronald, James S.
Shortell, Cynthia K.
Southerland, Kevin W.
author_sort Fei, Kaileen
collection PubMed
description Management of pancreaticoduodenal artery aneurysms (PDAAs) and gastroduodenal artery aneurysms (GDAAs) with concomitant celiac occlusion represents a challenging clinical scenario. Here, we describe a 62-year-old female with PDAA and GDAA complicated by celiac artery occlusion due to median arcuate ligament syndrome. We used a staged, minimally invasive approach consisting of: (1) a robotic median arcuate ligament release; (2) endovascular celiac artery stenting; and (3) visceral aneurysm coiling. The findings from this case report represent a novel treatment strategy for the management of PDAA/GDAA with celiac artery compression secondary to median arcuate ligament syndrome.
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spelling pubmed-103003902023-06-29 A minimally invasive approach for management of pancreaticoduodenal artery and gastroduodenal artery aneurysm with celiac artery occlusion Fei, Kaileen Zani, Sabino Ronald, James S. Shortell, Cynthia K. Southerland, Kevin W. J Vasc Surg Cases Innov Tech Case report Management of pancreaticoduodenal artery aneurysms (PDAAs) and gastroduodenal artery aneurysms (GDAAs) with concomitant celiac occlusion represents a challenging clinical scenario. Here, we describe a 62-year-old female with PDAA and GDAA complicated by celiac artery occlusion due to median arcuate ligament syndrome. We used a staged, minimally invasive approach consisting of: (1) a robotic median arcuate ligament release; (2) endovascular celiac artery stenting; and (3) visceral aneurysm coiling. The findings from this case report represent a novel treatment strategy for the management of PDAA/GDAA with celiac artery compression secondary to median arcuate ligament syndrome. Elsevier 2023-04-07 /pmc/articles/PMC10300390/ /pubmed/37388670 http://dx.doi.org/10.1016/j.jvscit.2023.101180 Text en © 2023 Published by Elsevier Inc. on behalf of Society for Vascular Surgery. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case report
Fei, Kaileen
Zani, Sabino
Ronald, James S.
Shortell, Cynthia K.
Southerland, Kevin W.
A minimally invasive approach for management of pancreaticoduodenal artery and gastroduodenal artery aneurysm with celiac artery occlusion
title A minimally invasive approach for management of pancreaticoduodenal artery and gastroduodenal artery aneurysm with celiac artery occlusion
title_full A minimally invasive approach for management of pancreaticoduodenal artery and gastroduodenal artery aneurysm with celiac artery occlusion
title_fullStr A minimally invasive approach for management of pancreaticoduodenal artery and gastroduodenal artery aneurysm with celiac artery occlusion
title_full_unstemmed A minimally invasive approach for management of pancreaticoduodenal artery and gastroduodenal artery aneurysm with celiac artery occlusion
title_short A minimally invasive approach for management of pancreaticoduodenal artery and gastroduodenal artery aneurysm with celiac artery occlusion
title_sort minimally invasive approach for management of pancreaticoduodenal artery and gastroduodenal artery aneurysm with celiac artery occlusion
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10300390/
https://www.ncbi.nlm.nih.gov/pubmed/37388670
http://dx.doi.org/10.1016/j.jvscit.2023.101180
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