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Embolization for asymptomatic aneurysms of the first jejunal artery

M Shimohira1, H Ogino, M Kitase

  • 1Department of Radiology, Nagoya City University Medical School, 1 Kawasumi, Mizuho-cho, Mizuho-ku, 467-8601 Nagoya, Japan. m_shimohira@yahoo.co.jp

VASA. Zeitschrift Fur Gefasskrankheiten
|August 31, 2006
PubMed

Insights

First jejunal artery aneurysms were incidentally discovered in a patient with coronary artery bypass grafts. Transcatheter embolization successfully treated the aneurysms, with no signs of intestinal ischemia during follow-up.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Gastrointestinal Medicine

Background:

  • Coronary artery bypass grafting (CABG) can involve various arterial conduits.
  • Gastroepiploic artery and left internal thoracic artery are common CABG conduits.
  • Jejunal artery aneurysms are rare vascular conditions.

Observation:

  • A 71-year-old male patient with prior CABG presented with incidentally discovered jejunal artery aneurysms.
  • The aneurysms were identified during a 3D-CT scan intended to assess graft patency.
  • The patient had a history of utilizing left internal thoracic and gastroepiploic arteries for bypass.

Findings:

  • Transcatheter embolization using interlocking detachable coils was performed for treatment.
  • The procedure was technically successful in excluding the aneurysms.
  • A 5-month follow-up revealed no evidence of intestinal ischemia.

Implications:

  • Transcatheter embolization is a viable treatment option for jejunal artery aneurysms.
  • Early detection and intervention can prevent complications like intestinal ischemia.
  • This case highlights the importance of thorough vascular assessment in patients with complex surgical histories.

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