title: Two-stage hybrid repair of a complex symptomatic celiac aneurysm.
abstract: We report the case of a novel 2-stage hybrid repair of a complex celiac artery aneurysm. The patient was a 42-year-old man with a proximal celiac artery aneurysm giving rise to distinct right and left hepatic arterial branches. Repair was performed using a staged approach. First, a bifurcated aortohepatic bypass was constructed to the common and left hepatic arteries. After recovering from surgery, he underwent percutaneous embolization of the aneurysm. Completion angiograms demonstrated flow into all celiac branches with successful thrombosis of the aneurysm. At 12-month follow-up, the patient had remained symptom-free with patent bypass grafts and complete aneurysm exclusion. We describe the treatment option we used, which involves repair of a complex celiac aneurysm using a 2-stage, open, endovascular approach.
authors.affiliation: Division of Vascular Surgery, Columbia University Medical Center, New York, NY 10032, USA.
authors.forename: Reid
authors.initials: R
authors.lastname: Ravin
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Meltzer
authors.forename: In-Kyong
authors.initials: IK
authors.lastname: Kim
authors.forename: Fauzia
authors.initials: F
authors.lastname: Shaikh
authors.forename: Rajeev
authors.initials: R
authors.lastname: Dayal
authors.forename: Roman
authors.initials: R
authors.lastname: Nowygrod
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002445:Celiac Artery / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures; D006499:Hepatic Artery / Q000601:surgery; D006801:Humans; D008297:Male; D011859:Radiography; D016896:Treatment Outcome; D014654:Vascular Patency