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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...
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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...
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Updated: Apr 18, 2026

Multimodality Diagnosis of Mesenteric Ischemia
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Isolated celiac artery dissection.

Paul D DiMusto1, Molly M Oberdoerster1, Enrique Criado1

  • 1Section of Vascular Surgery, University of Michigan, Ann Arbor, Mich.

Journal of Vascular Surgery
|January 21, 2015
PubMed
Summary
This summary is machine-generated.

Spontaneous celiac artery dissection is rare but often manageable with observation. Persistent pain may benefit from celiac artery stenting, while surgical repair is reserved for rare aneurysmal cases.

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology

Background:

  • Spontaneous celiac artery dissection (SCAD) is an uncommon condition with limited data on its natural history.
  • Understanding the optimal management strategies for SCAD is crucial for patient outcomes.

Purpose of the Study:

  • To review the experience with the evaluation and management of spontaneous celiac artery dissection.
  • To assess the long-term outcomes and natural history of SCAD.

Main Methods:

  • Retrospective review of 19 patients diagnosed with spontaneous celiac artery dissection over 8 years.
  • Clinical course review and patient follow-up for symptom assessment.

Main Results:

  • All patients underwent computed tomography scans confirming celiac artery dissection without aortic involvement.
  • Initial management was conservative (observation) for all patients, with no immediate interventions required.
  • Three patients with persistent abdominal pain underwent successful celiac artery stenting, and one patient had surgical repair for an aneurysm.

Conclusions:

  • Initial observation is a safe management strategy for spontaneous celiac artery dissection.
  • Endovascular stenting can effectively manage persistent pain, and surgical repair is an option for rare complications like aneurysms.
  • Long-term anticoagulation is not indicated for patients with spontaneous celiac artery dissection.