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Superior mesenteric artery pseudoaneurysm associated with celiac axis occlusion treated using endovascular techniques
Biswajit Ray1, Ganesh Kuhan, Brian Johnson
1Department of Vascular Surgery, Hull Royal Infirmary, Anlaby Road, Hull, HU3 2JZ, UK.
Cardiovascular and Interventional Radiology
|May 3, 2006
Summary
A 30-year-old woman with a superior mesenteric artery pseudoaneurysm and celiac axis occlusion was successfully treated. Celiac artery recanalization and stenting excluded the aneurysm, showing long-term patency.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Gastrointestinal Medicine
Background:
- Post-traumatic pseudoaneurysms of the superior mesenteric artery (SMA) are rare but serious complications.
- Celiac axis occlusion can complicate management of SMA pathologies.
- Open surgical repair carries significant morbidity.
Observation:
- A 30-year-old woman presented with a pseudoaneurysm of the SMA and occlusion of the celiac axis.
- The patient underwent successful endovascular treatment.
- The procedure involved celiac artery recanalization and placement of a covered stent in the SMA.
Findings:
- The endovascular approach resulted in successful exclusion of the pseudoaneurysm.
- Follow-up at 3, 6, 12 months, and 3 years confirmed stent patency.
- No signs of aneurysm recurrence were observed during the follow-up period.
Implications:
- Endovascular treatment offers a less invasive alternative to open surgery for SMA pseudoaneurysms with celiac axis occlusion.
- This approach may reduce the morbidity associated with traditional surgical interventions.
- Further long-term studies are needed to fully establish the durability of this endovascular technique.
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