Hybrid procedure for celiac trunk aneurysm repair via left reno-splenic bypass and stent-graft deployment
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Published on: September 13, 2014
Roberto Gabrielli1, Maria Sofia Rosati, Andrea Siani
1Department of Vascular Surgery, Policlinico Casilino of Rome, 00169 Rome, Italy. ogadoc@libero.it
Insights
Celiac trunk aneurysms are rare. A hybrid surgical-endovascular approach, combining bypass and stent-graft, successfully treated a patient, offering a less invasive option for this condition.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Abdominal Aortic Aneurysm
Background:
- Celiac trunk aneurysm is a rare splanchnic artery aneurysm.
- Open surgery for celiac trunk aneurysm carries high risks of morbidity and mortality.
- Complex vascular reconstruction may be necessary with open surgical repair.
Observation:
- A 42-year-old patient presented with a celiac trunk aneurysm.
- A hybrid surgical-endovascular procedure was employed for treatment.
- The procedure involved a left reno-splenic bypass and direct splenic artery access.
Findings:
- A self-expandable stent-graft was deployed across the splenic and hepatic arteries.
- The repair demonstrated stability one year post-procedure.
- This hybrid approach offers a viable alternative to conventional open surgery.
Implications:
- The hybrid approach may reduce morbidity and mortality associated with celiac trunk aneurysm repair.
- Minimally invasive techniques can be effective for rare splanchnic artery aneurysms.
- Further research into hybrid procedures for celiac trunk aneurysms is warranted.
Abstract:
Celiac trunk aneurysm is one of the rarest forms of splanchnic artery aneurysm. Conventional open vascular surgery is associated with increased rates of morbidity and mortality and can require complex vascular reconstruction.We describe the case of a 42-year-old patient with celiac trunk aneurysm whom we treated by means of a hybrid surgical-endovascular procedure. We performed a left reno-splenic bypass, after which we used a direct splenic artery approach to deploy a self-expandable 6 × 50-mm stent-graft across the splenic and hepatic arteries. One year later, the stability of the repair was confirmed.
