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Common celiacomesenteric trunk: aneurysmal and occlusive disease
Gorav Ailawadi1, Robert A Cowles, James C Stanley
1Section of Vascular Surgery, Department of Surgery, University of Michigan Medical Center, Ann Arbor, MI 48109, USA.
Journal of Vascular Surgery
|November 24, 2004
Summary
Four patients with common celiacomesenteric trunk (CMT) disease underwent surgical intervention for aneurysmal or occlusive conditions. Treatments included bypass grafting and endovascular fenestration to restore blood flow.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Gastrointestinal Surgery
Background:
- The common celiacomesenteric trunk (CMT) is a rare anatomical variant.
- Disease affecting the CMT can lead to significant clinical complications.
Purpose of the Study:
- To review operative and endovascular treatments for patients with common celiacomesenteric trunk (CMT) aneurysmal or occlusive disease.
- To analyze the outcomes of interventions for CMT pathologies.
Main Methods:
- Retrospective review of 18 patients with CMT treated between 1965 and 2004.
- Detailed analysis of arteriographic findings and therapeutic interventions in 4 patients with symptomatic CMT disease.
- Surgical procedures included bypass grafting (polytetrafluoroethylene and Dacron) and endovascular fenestration.
Main Results:
- Four patients presented with CMT aneurysmal (n=2), occlusive (n=1), or compression by aortic dissection (n=1) disease.
- Successful surgical management involved bypass grafts to restore CMT patency.
- Endovascular fenestration was utilized for dissection-related CMT compression.
Conclusions:
- Symptomatic aneurysmal or occlusive disease of the common celiacomesenteric trunk requires timely intervention.
- Both open surgical bypass and endovascular techniques can effectively treat CMT pathologies.
- Management strategies should be tailored to the specific CMT disease presentation.