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Celiac artery aneurysm: a case evaluated preoperatively with three-dimensional computed tomographic angiography.
Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi
|October 13, 2001
Summary
A 3 cm celiac artery aneurysm was surgically removed in a 63-year-old woman. Three-dimensional CT angiography precisely mapped the aneurysm, aiding surgical planning for this rare vascular condition.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Gastroenterology
Background:
- Celiac artery aneurysms are rare but pose a risk of rupture.
- Accurate pre-operative imaging is crucial for surgical planning.
Observation:
- A 63-year-old woman presented with an incidentally detected 3 cm celiac artery aneurysm.
- Conventional angiography provided initial assessment, while 3D CT angiography refined the aneurysm's relationship to the splenic and hepatic arteries.
Findings:
- Surgical aneurysmectomy and end-to-end anastomosis of the celiac artery were successfully performed.
- Histological examination revealed atheromatous changes in the aneurysm wall.
- Post-operative imaging confirmed complete aneurysm removal and restored arterial flow.
Implications:
- Three-dimensional CT angiography is valuable for precise anatomical assessment of celiac artery aneurysms.
- Surgical intervention can be safely performed with good outcomes.
- This case highlights the importance of advanced imaging in managing rare arterial pathologies.