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...
| Published in: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Main Authors: | , , , , |
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-09-01
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| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428723000898 |
| _version_ | 1850475228382101504 |
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| author | Kaileen Fei, BA Sabino Zani, Jr., MD James S. Ronald, MD PhD Cynthia K. Shortell, MD Kevin W. Southerland, MD |
| author_facet | Kaileen Fei, BA Sabino Zani, Jr., MD James S. Ronald, MD PhD Cynthia K. Shortell, MD Kevin W. Southerland, MD |
| author_sort | Kaileen Fei, BA |
| collection | DOAJ |
| container_title | Journal of Vascular Surgery Cases and Innovative Techniques |
| 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. |
| format | Article |
| id | doaj-art-9e4edf409eee4deca3f1206506ef27fd |
| institution | Directory of Open Access Journals |
| issn | 2468-4287 |
| language | English |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| spelling | doaj-art-9e4edf409eee4deca3f1206506ef27fd2025-08-19T22:40:07ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872023-09-019310118010.1016/j.jvscit.2023.101180A minimally invasive approach for management of pancreaticoduodenal artery and gastroduodenal artery aneurysm with celiac artery occlusionKaileen Fei, BA0Sabino Zani, Jr., MD1James S. Ronald, MD PhD2Cynthia K. Shortell, MD3Kevin W. Southerland, MD4Duke University School of Medicine, Durham, NCDivision of Surgical Oncology, Department of Surgery, Duke University Medical Center, Durham, NCDivision of Interventional Radiology, Department of Radiology, Duke University Medical Center, Durham, NCDivision of Vascular and Endovascular Surgery, Department of Surgery, Duke University Medical Center, Durham, NCDivision of Vascular and Endovascular Surgery, Department of Surgery, Duke University Medical Center, Durham, NC; Correspondence: Kevin W. Southerland, MD, Department of Surgery, Duke University School of Medicine, Box 3850 Med Ctr, Durham, NC 27710Management 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.http://www.sciencedirect.com/science/article/pii/S2468428723000898Visceral artery aneurysmMinimally invasiveMedian arcuate ligament syndromePancreaticoduodenal artery aneurysmGastroduodenal artery aneurysm |
| spellingShingle | Kaileen Fei, BA Sabino Zani, Jr., MD James S. Ronald, MD PhD Cynthia K. Shortell, MD Kevin W. Southerland, MD A minimally invasive approach for management of pancreaticoduodenal artery and gastroduodenal artery aneurysm with celiac artery occlusion Visceral artery aneurysm Minimally invasive Median arcuate ligament syndrome Pancreaticoduodenal artery aneurysm Gastroduodenal artery aneurysm |
| 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 | Visceral artery aneurysm Minimally invasive Median arcuate ligament syndrome Pancreaticoduodenal artery aneurysm Gastroduodenal artery aneurysm |
| url | http://www.sciencedirect.com/science/article/pii/S2468428723000898 |
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