Hybrid procedure for celiac trunk aneurysm repair via left reno-splenic bypass and stent-graft deployment.
Celiac trunk aneurysm is one of the rarest forms of splanchnic artery aneurysm. Conventional open vascular surgery is associated with increased rates of morbidity and mortality and can require complex vascular reconstruction.We describe the case of a 42-year-old patient with celiac trunk aneurysm whom we treated by means of a hybrid surgical-endovascular procedure. We performed a left reno-splenic bypass, after which we used a direct splenic artery approach to deploy a self-expandable 6 × 50-mm stent-graft across the splenic and hepatic arteries. One year later, the stability of the repair was confirmed.
Department of Vascular Surgery, Policlinico Casilino of Rome, 00169 Rome, Italy. ogadoc@libero.it
Roberto
R
Gabrielli
Maria Sofia
MS
Rosati
Andrea
A
Siani
Roberto
R
Chiappa
Giovanni
G
Caselli
D000328:Adult; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D015901:Angiography, Digital Subtraction; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures / Q000295:instrumentation; D006499:Hepatic Artery / Q000601:surgery; D006801:Humans; D008297:Male; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D013157:Splenic Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome