Surgical Treatment of Jejunal Artery Aneurysm

INTRODUCTION: A jejunal artery aneurysm (JAA) is rare and has few specific symptoms. Endovascular repair is widely used in the treatment of jejunal artery aneurysms; however, some patients still require open repair. REPORT: A 59 year old man underwent open surgery with resection of the aneurysm and...

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Detalles Bibliográficos
Autores principales: Toya, Teppei, Uehara, Kyokun, Ito, Yusuke, Sasaki, Hiroaki, Matsuda, Hitoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6171461/
https://www.ncbi.nlm.nih.gov/pubmed/30294683
http://dx.doi.org/10.1016/j.ejvssr.2018.08.001
Descripción
Sumario:INTRODUCTION: A jejunal artery aneurysm (JAA) is rare and has few specific symptoms. Endovascular repair is widely used in the treatment of jejunal artery aneurysms; however, some patients still require open repair. REPORT: A 59 year old man underwent open surgery with resection of the aneurysm and reconstruction using a saphenous vein graft. Histopathological examination revealed heterotopic pancreas around the aneurysm. DISCUSSION: Inflammation as a result of heterotopic pancreas was suspected as the cause of JAA. The advantage of open repair is to explore intestinal ischaemia directly. Furthermore, revascularisation with a saphenous vein graft may remove the possibility of post-operative intestinal ischaemia.

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