1. Ilio-Hepatic Artery Bypass for Hypoplasia of the Celiac Axis and Its Branches with an Inferior Pancreaticoduodenal Artery Aneurysm
- Author
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Masaru Nemoto, Yutaka Takayama, Yu Tadokoro, Junji Yamamoto, and Tatsuki Watanabe
- Subjects
hypoplasia ,medicine.medical_specialty ,business.industry ,Occlusive disease ,Celiac axis ,Inferior pancreaticoduodenal artery ,Case Report ,General Medicine ,Blood flow ,medicine.disease ,Hypoplasia ,Surgery ,medicine.anatomical_structure ,Aneurysm ,medicine.artery ,medicine ,inferior pancreaticoduodenal artery aneurysm ,Autologous Vein Graft ,ilio-hepatic artery bypass ,business ,Artery - Abstract
Hemorrhage due to a ruptured pancreaticoduodenal artery aneurysm is potentially fatal. We describe a case of a 51-year-old man, incidentally diagnosed with an inferior pancreaticoduodenal artery aneurysm associated with probable congenital hypoplasia of the celiac axis and its branches. Considering the rupture risk, we performed an ilio-hepatic artery bypass with an autologous vein graft and aneurysmorrhaphy. The postoperative course was uneventful. At the 24-month follow-up, the bypass was patent, with no aneurysm recurrence. The ilio-hepatic artery bypass is effective and preserves visceral blood flow. However, the iliac artery is susceptible to occlusive disease, and long-term follow-up is required.
- Published
- 2021