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[Rupture of operated celiac artery aneurysm]

Hakan Bingöl1, Celalettin Günay, Ertuğrul Ozal

  • 1Gülhane Military Academy, Department of Cardiovascular Surgery, Ankara, Turkey. hakhanbin@hotmail.com

Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES
|October 22, 2003
PubMed

Insights

Ruptured celiac artery aneurysms are rare but dangerous. Prompt surgical intervention, including graft replacement, is crucial for patient survival and preventing further complications.

Area of Science:

  • Vascular Surgery
  • Abdominal Aneurysm Research
  • Gastrointestinal Surgery

Background:

  • Celiac artery aneurysms are uncommon vascular conditions.
  • Rupture is the most frequent and serious complication, often presenting with severe hemorrhage.
  • Previous surgical intervention for aneurysmectomy and graft interposition can be complicated by infection.

Observation:

  • A patient with a history of celiac artery aneurysm repair presented with fever and abdominal discomfort.
  • Computed tomography revealed a 1 cm celiac artery aneurysm and intraperitoneal hemorrhage.
  • The patient experienced acute hematocrit descent and cardiac arrest, necessitating emergency thoracotomy.

Findings:

  • Intraoperative findings confirmed a ruptured, infected synthetic graft at the celiac artery.
  • Emergency surgical management involved removing the infected graft and interposing a new PTFE graft from the descending aorta to the proper hepatic artery.
  • The patient remained complication-free during a 17-month follow-up period.

Implications:

  • Celiac artery aneurysms, despite their rarity, pose a significant risk due to their propensity for asymptomatic presentation and high rupture incidence.
  • Early diagnosis and aggressive management are essential for improving outcomes in patients with celiac artery aneurysms.
  • This case highlights the importance of vigilance for graft infection and re-intervention in patients with prior vascular repairs.

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