Related Experiment Video
Updated: Apr 30, 2026
04:56
Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
650
Celiacomesenteric trunk: a variation that must be known before aortic surgery
Nicolas Lagoutte1, Olivier Facy1, Boris Guiu2
1Department of Digestive Surgical Oncology;
Clinics and Practice
|April 26, 2014
Insights
Anatomic variations of the celiac trunk and mesenteric arteries, such as a celiacomesenteric trunk, can impact patient outcomes. Awareness of these variations is crucial before performing aortic surgery to prevent complications like mesenteric ischemia.
Area of Science:
- Vascular anatomy
- Surgical anatomy
- Gastrointestinal surgery
Background:
- The celiac trunk and mesenteric arteries exhibit anatomical variations.
- These variations can have significant clinical implications, particularly in vascular and gastrointestinal surgery.
- Knowledge of these variations is essential for surgical planning.
Purpose of the Study:
- To highlight the clinical significance of celiacomesenteric trunk variations.
- To emphasize the importance of recognizing such anomalies before aortic surgery.
- To correlate anatomical variations with patient outcomes in cases of mesenteric ischemia.
Main Methods:
- Case report presentation.
- Review of patient history including aortic bypass and subsequent complications.
- Analysis of surgical and post-operative management.
Main Results:
- A rare celiacomesenteric trunk variation was identified in a patient presenting with mesenteric ischemia.
- The patient had a history of aortic bypass without inferior mesenteric artery reimplantation.
- Despite interventions including thrombectomies and digestive resections, the patient's outcome was fatal.
Conclusions:
- Anatomic variations, specifically the celiacomesenteric trunk, pose a significant risk in patients undergoing aortic surgery.
- Pre-operative identification of such variations is critical for preventing catastrophic complications like mesenteric ischemia.
- Understanding vascular anomalies is paramount for improving surgical safety and patient prognosis.
Abstract:
The celiac trunk and the mesenteric arteries may present variations with different clinical significance. A celiacomesenteric trunk was discovered in a patient with mesenteric ischemia and a history of aortic bypass without inferior mesenteric artery reimplantation. Despite thrombectomies and digestive resections, the patient died. Anatomic variations like celiacomesenteric trunk must be known before aortic surgery.
More Related Videos
Related Concept Videos
01:25Abdominal Aorta
3.5K
Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
The celiac trunk, a singular artery, divides into the left gastric artery, which...
3.5K
01:14The Aorta
4.2K
The aorta is the largest artery in the human body. It originates from the left ventricle of the heart and extends down to the abdomen, where it splits into two smaller arteries. Structurally, it can be divided into four main parts: the ascending aorta, the aortic arch, the thoracic aorta, and the abdominal aorta.
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
4.2K
01:15Thoracic Aorta
2.5K
The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
2.5K
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
589
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
589
01:26Aneurysm III: Interprofessional Care
478
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
478
01:30Aneurysm I: Introduction
650
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
650