title: Open surgical repair using a reimplantation technique for a large celiac artery aneurysm anomalously arising from the celiomesenteric trunk.
abstract: Celiac artery aneurysms anomalously arising from the celiomesenteric trunk (hepatosplenomesenteric trunk) are rare, with only four patients reported thus far. Surgical intervention for this condition is challenging, particularly when the aneurysm is large and in a retropancreatic location. We report an open repair surgery in a 54-year-old asymptomatic man who presented with a saccular calcified aneurysm (diameter, 4.0 cm) of the celiac artery originating from the celiomesenteric trunk. Our technique involved minimal dissection of the surrounding vessels and complete aneurysm resection, along with revascularization of the hepatic, splenic, and superior mesenteric arteries with a single anastomosis.
authors.affiliation: Department of Surgery, Shinko Hospital, Kobe, Japan. hhiga007ke@shinkohp.or.jp
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Higashiyama
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Yamagami
authors.forename: Koji
authors.initials: K
authors.lastname: Fujimoto
authors.forename: Takatomo
authors.initials: T
authors.lastname: Koshiba
authors.forename: Kaoru
authors.initials: K
authors.lastname: Kumada
authors.forename: Masayuki
authors.initials: M
authors.lastname: Yamamoto
mesh_terms: D000783:Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D002445:Celiac Artery / Q000002:abnormalities*; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior; D008875:Middle Aged; D012092:Replantation