Blood flow modification might prevent secondary rupture of multiple pancreaticoduodenal artery arcade aneurysms associated with celiac axis stenosis

A pancreaticoduodenal artery arcade aneurysm (PDAA) is rare and often associated with celiac axis stenosis by the median arcuate ligament. Although rupture risk of the PDAA is not related to its size, treatment guidelines are absent. Here we describe a 59-year-old woman with multiple ruptured PDAAs...

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Autores principales: Yamana, Fumio, Ohata, Toshihiro, Kitahara, Mutsunori, Nakamura, Masahisa, Yakushiji, Hideaki, Nakahira, Shin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Case report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7016350/
https://www.ncbi.nlm.nih.gov/pubmed/32072085
http://dx.doi.org/10.1016/j.jvscit.2019.10.005
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author Yamana, Fumio
Ohata, Toshihiro
Kitahara, Mutsunori
Nakamura, Masahisa
Yakushiji, Hideaki
Nakahira, Shin
author_facet Yamana, Fumio
Ohata, Toshihiro
Kitahara, Mutsunori
Nakamura, Masahisa
Yakushiji, Hideaki
Nakahira, Shin
author_sort Yamana, Fumio
collection PubMed
description A pancreaticoduodenal artery arcade aneurysm (PDAA) is rare and often associated with celiac axis stenosis by the median arcuate ligament. Although rupture risk of the PDAA is not related to its size, treatment guidelines are absent. Here we describe a 59-year-old woman with multiple ruptured PDAAs associated with celiac axis stenosis who was successfully treated with coil embolization. As follow-up computed tomography revealed rapid expansion of residual PDAAs and new gastric artery dissection, median arcuate ligament resection was followed by aorta-common hepatic artery bypass, which resulted in aneurysmal regression. Blood flow modification might prevent secondary rupture of PDAA associated with celiac axis stenosis.
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spelling pubmed-70163502020-02-18 Blood flow modification might prevent secondary rupture of multiple pancreaticoduodenal artery arcade aneurysms associated with celiac axis stenosis Yamana, Fumio Ohata, Toshihiro Kitahara, Mutsunori Nakamura, Masahisa Yakushiji, Hideaki Nakahira, Shin J Vasc Surg Cases Innov Tech Case report A pancreaticoduodenal artery arcade aneurysm (PDAA) is rare and often associated with celiac axis stenosis by the median arcuate ligament. Although rupture risk of the PDAA is not related to its size, treatment guidelines are absent. Here we describe a 59-year-old woman with multiple ruptured PDAAs associated with celiac axis stenosis who was successfully treated with coil embolization. As follow-up computed tomography revealed rapid expansion of residual PDAAs and new gastric artery dissection, median arcuate ligament resection was followed by aorta-common hepatic artery bypass, which resulted in aneurysmal regression. Blood flow modification might prevent secondary rupture of PDAA associated with celiac axis stenosis. Elsevier 2020-02-12 /pmc/articles/PMC7016350/ /pubmed/32072085 http://dx.doi.org/10.1016/j.jvscit.2019.10.005 Text en © 2019 The Authors http://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
Yamana, Fumio
Ohata, Toshihiro
Kitahara, Mutsunori
Nakamura, Masahisa
Yakushiji, Hideaki
Nakahira, Shin
Blood flow modification might prevent secondary rupture of multiple pancreaticoduodenal artery arcade aneurysms associated with celiac axis stenosis
title Blood flow modification might prevent secondary rupture of multiple pancreaticoduodenal artery arcade aneurysms associated with celiac axis stenosis
title_full Blood flow modification might prevent secondary rupture of multiple pancreaticoduodenal artery arcade aneurysms associated with celiac axis stenosis
title_fullStr Blood flow modification might prevent secondary rupture of multiple pancreaticoduodenal artery arcade aneurysms associated with celiac axis stenosis
title_full_unstemmed Blood flow modification might prevent secondary rupture of multiple pancreaticoduodenal artery arcade aneurysms associated with celiac axis stenosis
title_short Blood flow modification might prevent secondary rupture of multiple pancreaticoduodenal artery arcade aneurysms associated with celiac axis stenosis
title_sort blood flow modification might prevent secondary rupture of multiple pancreaticoduodenal artery arcade aneurysms associated with celiac axis stenosis
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7016350/
https://www.ncbi.nlm.nih.gov/pubmed/32072085
http://dx.doi.org/10.1016/j.jvscit.2019.10.005
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