An impending rupture of a celiac artery aneurysm in a patient with Behçet's disease -- extra-anatomic aorto-common hepatic artery bypass: report of a case.
A celiac artery aneurysm associated with Behçet's disease is extremely rare. We herein present the case of successful surgical treatment for an impending rupture of a large celiac artery aneurysm with a wide proximal neck in a patient associated with Behçet's disease. To our knowledge, this is the first report of a procedure involving extra-anatomic aorto-common hepatic artery (CHA) bypass through the retroperitoneal space implanting a 6-mm expanded polytetrafluoroethylene graft. An 18-month postoperative magnetic resonance angiography scan showed a good patency of the aorto-CHA graft without an anastomotic pseudoaneurysm in a closure of aorta and anastomoses.
Maeda
Hideaki
H
Department of Cardiovascular Surgery, Nihon University School of Medicine, 30-1 Oyaguchikami-machi, Itabashi-ku, Tokyo, 173-8610, Japan.
Umezawa
Hisaki
H
Goshima
Masakazu
M
Hattori
Tsutomu
T
Nakamura
Tetsuya
T
Negishi
Nanao
N
Oinuma
Toshinori
T
Sugitani
Masahiko
M
Nemoto
Norimichi
N
D000714:Anastomosis, Surgical; D017542:Aneurysm, Ruptured / Q000209:etiology / Q000601:surgery*; D001011:Aorta / Q000601:surgery; D001528:Behcet Syndrome / Q000150:complications*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002445:Celiac Artery; D006499:Hepatic Artery / Q000601:surgery; D006801:Humans; D008297:Male