title: Endovascular Treatment of a Dissected Celiac Trunk Aneurysm Complicated with Consequent Pseudoaneurysm: Primary Treatment and Treatment Relapse after 5 Years.
abstract: We report on an asymptomatic 56-year-old male with incidental diagnosis of celiac trunk aneurysm, diagnosed during an ultrasound scan performed to control polycystic kidney disease. The CT scan revealed a 3.8 cm saccular aneurysm of the celiac artery dissected in the superior wall with a consequent 4.3 cm pseudoaneurysm; we adopted an endovascular approach to exclude the lesion by catheterizing the celiac trunk and positioning a vascular plug in the common hepatic artery and a covered stent in the splenic artery; finally we fulfilled the aneurysm sac with Onyx. 30-day control CT scan revealed procedural success. Five years later he came back to our department for an aneurysm relapse in the common hepatic artery. We performed a second endovascular approach with a superselective catheterization of the pancreaticoduodenal arcade in order to exclude the lesion with Onyx and microcoils. Nowadays the patient is in good clinical conditions. Endovascular approach is a valuable method to treat visceral aneurysms; however, long-term imaging follow-up is essential to monitor the risk of relapse.
authors.affiliation: Department of Radiology, Università Campus Bio-Medico di Roma, Via Alvaro Del Portillo 200, 00100 Rome, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Giurazza
authors.affiliation: Department of Radiology, Università degli Studi Federico II di Napoli, Via Pansini 5, 80100 Naples, Italy.
authors.forename: Mattia
authors.initials: M
authors.lastname: Silvestre
authors.affiliation: Department of Radiology, Università degli Studi Federico II di Napoli, Via Pansini 5, 80100 Naples, Italy.
authors.forename: Amedeo
authors.initials: A
authors.lastname: Cervo
authors.affiliation: Department of Vascular Radiology, A.O.R.N. Antonio Cardarelli, Via A. Cardarelli 9, 80100 Naples, Italy.
authors.forename: Franco
authors.initials: F
authors.lastname: Maglione