Document Detail

Celiac artery aneurysm: a case evaluated preoperatively with three-dimensional computed tomographic angiography.
MedLine Citation:
PMID:  11598633     Owner:  NLM     Status:  MEDLINE    
In a 63-year-old woman computed tomography (CT) incidentally detected a celiac artery aneurysm approximately 3 cm in diameter. While conventional angiography suggested that the splenic artery and common hepatic artery arose from the celiac artery aneurysm, three-dimensional CT angiography indicated that the aneurysm involved only the mid portion of the celiac artery. Considering the risk of eventual aneurysm rupture, surgery was performed. Aneurysmectomy and devascularization of hepatic, splenic, and celiac arteries were carried out following complete cross-clamping of the celiac artery. The distal segment of the celiac artery was directly anastomosed to the proximal segment in an end-to-end fashion. Histologically, the aneurysm wall showed atheromatous changes. Contrast-enhanced abdominal CT confirmed complete removal of the celiac artery aneurysm, and postoperative angiography confirmed good arterial flow. The patient recovered uneventfully after surgery, with normalization of transiently abnormal hepatic function parameters. In this case of celiac artery aneurysm, three-dimensional CT angiography was found to be valuable in determining the relationships of the aneurysms to important arterial branches.
A Katsuno; M Onda; T Tajiri; H Yoshida; Y Mamada; N Taniai; S Mineta; M Yoshioka; A Hirakata; T Saitoh; K Akimaru; M Ochi; T Kumazaki
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of Nippon Medical School = Nippon Ika Daigaku zasshi     Volume:  68     ISSN:  1345-4676     ISO Abbreviation:  J Nippon Med Sch     Publication Date:  2001 Oct 
Date Detail:
Created Date:  2001-10-12     Completed Date:  2002-02-15     Revised Date:  2012-09-25    
Medline Journal Info:
Nlm Unique ID:  100935589     Medline TA:  J Nippon Med Sch     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  444-6     Citation Subset:  IM    
First Department of Surgery, Nippon Medical School, Tokyo, Japan.
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MeSH Terms
Aneurysm / radiotherapy*
Celiac Artery* / radiography
Middle Aged
Tomography, X-Ray Computed*

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