title: Penetrating atherosclerotic ulcer of the abdominal aorta involving the celiac trunk origin and superior mesenteric artery occlusion: endovascular treatment.
abstract: We describe a case of endovascular treatment in a 64-year-old woman affected by a penetrating atherosclerotic ulcer (PAU) of the abdominal aorta with a 26-mm pseudoaneurysm involving the celiac trunk (CT) origin and with superior mesenteric artery (SMA) occlusion in the first 30 mm. The patient underwent stenting to treat the SMA occlusion and subsequent deployment of a custom-designed fenestrated endovascular stent-graft to treat the PAU involving the CT origin. Follow-up at 6 months after device placement demonstrated no complications, and there was complete thrombosis of the PAU and patency of the two branch vessels.
authors.affiliation: Department of Diagnostic and Interventional Radiology, San Martino University Hospital, 16132 Genoa, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Ferro
authors.forename: Umberto G
authors.initials: UG
authors.lastname: Rossi
authors.forename: Francesco
authors.initials: F
authors.lastname: Petrocelli
authors.forename: Sara
authors.initials: S
authors.lastname: Seitun
authors.forename: Alessandro
authors.initials: A
authors.lastname: Robaldo
authors.forename: Raffaele
authors.initials: R
authors.lastname: Mazzei
mesh_terms: D017541:Aneurysm, False / Q000175:diagnosis / Q000601:surgery*; D017130:Angioplasty; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D001018:Aortic Diseases / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography; D050197:Atherosclerosis / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002445:Celiac Artery; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D017538:Mesenteric Artery, Superior; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis; D011474:Prosthesis Design; D012086:Reoperation; D015607:Stents; D014057:Tomography, X-Ray Computed; D014456:Ulcer / Q000175:diagnosis / Q000601:surgery*