Document Detail


Pancreaticoduodenectomy with unusual artery reconstruction in a patient with celiac axis occlusion: report of a case.
MedLine Citation:
PMID:  20845012     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Celiac axis stenosis is a relatively common finding that may require major revascularization during pancreaticoduodenectomy. We present a patient that underwent pancreaticoduodenectomy for intraductal papillary mucinous neoplasm of the pancreatic head associated with celiac axis obstruction. To secure arterial blood flow to the upper abdominal organs, the superior posterior pancreaticoduodenal artery and the posterior-inferior pancreatic-duodenal artery were carefully preserved, and anastomosed. The postoperative course was complicated by a pseudoaneurysm of the splenic artery that was successfully treated with angiographic embolization through the vascular bypass. This may be a valid alternative procedure for revascularization of the common hepatic artery during pancreaticoduodenectomy in a patient with celiac axis stenosis.
Authors:
Mattia Berselli; Cosimo Sperti; Enzo Ballotta; Valentina Beltrame; Sergio Pedrazzoli
Publication Detail:
Type:  Journal Article     Date:  2010-08-20
Journal Detail:
Title:  Updates in surgery     Volume:  62     ISSN:  2038-131X     ISO Abbreviation:  Updates Surg     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101539818     Medline TA:  Updates Surg     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  117-20     Citation Subset:  IM    
Affiliation:
Department of Medical and Surgical Sciences, Clinica Chirurgica IV, University of Padua, Via Giustiniani 2, 35128, Padua, Italy.
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