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Endovascular Stent-Graft Treatment of Giant Celiac Artery Pseudoaneurysm

BACKGROUND: Visceral artery aneurysms (VAAs) comprise an uncommon but life-threatening vascular disease. When rupture is the first clinical presentation, mortality rate reaches 70%. Increased use of cross-sectional imaging has led to a greater rate of diagnosis (40–80%) of asymptomatic VAAs. In the...

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Detalles Bibliográficos
Autores principales: Tuncel, Sedat Alpaslan, Gülcü, Aytaç, Yılmaz, Erdem, Çiftçi, Taner, Göktay, Ahmet Yiğit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4505756/
https://www.ncbi.nlm.nih.gov/pubmed/26236417
http://dx.doi.org/10.12659/PJR.894377
Descripción
Sumario:BACKGROUND: Visceral artery aneurysms (VAAs) comprise an uncommon but life-threatening vascular disease. When rupture is the first clinical presentation, mortality rate reaches 70%. Increased use of cross-sectional imaging has led to a greater rate of diagnosis (40–80%) of asymptomatic VAAs. In the past, surgery was the treatment of choice for VAAs carrying high risk of mortality and morbidity. CASE REPORT: A 22-year-old man, who had undergone gastric, pancreatic and aortic surgery 2.5 years earlier, presented with progressive abdominal pain. Multidetector computed tomography scan revealed an 8-cm celiac pseudoaneurysm. We report a giant celiac pseudoaneurysm treated with stent-graft implantation. CONCLUSIONS: Endovascular treatment of VAA is a safe and effective method alternative to surgery.