Blunt traumatic celiac artery avulsion managed with celiac artery ligation and open aorto-celiac bypass

Matthew D Kronick; Andrew R Doben; Marvin E Morris; Ronald I Gross; Amanda Kravetz; Jeffry T Nahmias

doi:10.1016/j.tcr.2017.10.002

Blunt traumatic celiac artery avulsion managed with celiac artery ligation and open aorto-celiac bypass

Trauma Case Rep. 2017 Oct 31:11:8-12. doi: 10.1016/j.tcr.2017.10.002. eCollection 2017 Oct.

Authors

Matthew D Kronick¹, Andrew R Doben¹, Marvin E Morris¹, Ronald I Gross¹, Amanda Kravetz¹, Jeffry T Nahmias²

Affiliations

¹ Baystate Medical Center, Tufts University School of Medicine, Springfield, MA, USA.
² University of California, Irvine, Orange, CA, USA.

Abstract

Traumatic celiac artery injuries are rare and highly lethal with reported mortality rates of 38-62%. The vast majority are caused by penetrating trauma with only 11 reported cases due to blunt trauma (Graham et al., 1978; Asensio et al., 2000, 2002). Only 3 of these cases were complete celiac artery avulsions. Management options described depend upon the type of injury and have included medical therapy with anti-platelet agents or anti-coagulants, endovascular stenting, and open ligation. We report a case of a survivor of complete celiac artery avulsion from blunt trauma managed by open bypass.

Keywords: Aorta; Celiac artery; Trauma; Vascular.

Publication types

Case Reports