Hybrid procedure for celiac trunk aneurysm repair via left reno-splenic bypass and stent-graft deployment

Tex Heart Inst J. 2012;39(3):408-11.

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.

Keywords: Celiac artery/aneurysm; coil; endovascular exclusion; reno-splenic bypass; stent-graft; viscera/blood supply.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aneurysm / diagnostic imaging
  • Aneurysm / surgery*
  • Angiography, Digital Subtraction
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation* / instrumentation
  • Celiac Artery / diagnostic imaging
  • Celiac Artery / surgery*
  • Embolization, Therapeutic
  • Endovascular Procedures* / instrumentation
  • Hepatic Artery / surgery
  • Humans
  • Male
  • Renal Artery / diagnostic imaging
  • Renal Artery / surgery*
  • Splenic Artery / diagnostic imaging
  • Splenic Artery / surgery*
  • Stents
  • Tomography, X-Ray Computed
  • Treatment Outcome