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Related Experiment Videos

Multiple giant superior mesenteric artery branch aneurysms.

Michelle E Sohn1, Charles E Stonerock, Michael C Dalsing

  • 1Indiana University Division of Vascular Surgery, Indianapolis, IN, USA. meatchis@iupui.edu

Annals of Vascular Surgery
|May 9, 2007
PubMed
Summary

Giant, multiple mesenteric artery aneurysms are exceptionally rare. This case highlights successful surgical repair in a patient with celiac artery occlusion, emphasizing diagnosis and treatment for this uncommon condition.

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Abdominal Imaging

Background:

  • Mesenteric artery aneurysms are uncommon vascular lesions.
  • Giant, multiple mesenteric branch artery aneurysms are exceedingly rare, with limited literature.
  • Associated conditions like celiac artery occlusion further complicate presentation.

Observation:

  • A 73-year-old asymptomatic female presented with an abdominal bruit.
  • Diagnosis revealed multiple mesenteric branch artery aneurysms and celiac artery occlusion via CT and angiography.
  • Risk factors identified included hypertension, hyperlipidemia, grandmultiparity, and tobacco use.

Findings:

  • Successful open surgical management involved ligation of multiple aneurysms.
  • Vein bypass reconstruction was performed to maintain hepatic and mesenteric artery flow.

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  • The patient's condition was managed effectively with a combined surgical approach.

    • Implications:

    • This case contributes to the understanding of rare mesenteric artery aneurysm presentations.
    • Highlights the importance of comprehensive vascular imaging and diagnosis.
    • Demonstrates the feasibility of complex open surgical repair for preserving visceral blood flow.