Document Detail

Revascularization of the celiac and superior mesenteric arteries after operative injury using both splenic artery and saphenous graft.
MedLine Citation:
PMID:  20471785     Owner:  NLM     Status:  MEDLINE    
We report a case of iatrogenic resection of both the superior mesenteric artery (SMA) and celiac artery during left nephrectomy and adrenalectomy. A 47-year-old woman was diagnosed with a large adrenal tumor and underwent a laparoscopic left adrenalectomy that was converted to open adrenalectomy and nephrectomy as a result of a bulky tumor. Both the SMA and celiac artery were inadvertently cut at their origin because of adherence of the tumor to the aorta. Both arteries were revascularized by anastomosing the distal splenic artery to the aorta after performing splenectomy to revascularize the celiac circulation and using an autologous saphenous vein graft to revascularize the SMA. The patient had no postoperative complications. To our knowledge, this is the first description of use of the splenic artery for celiac revascularization.
Samir Abu-Gazala; Avraham Schlager; Ram Elazary; Andrei Keidar; Liat Appelbaum; Avraham I Rivkind; Abed Khalaileh; Mahmoud Abu-Gazala; Hadar Merhav
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-05-14
Journal Detail:
Title:  Annals of vascular surgery     Volume:  24     ISSN:  1615-5947     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-06-28     Completed Date:  2010-10-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  693.e1-4     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved.
Dept of Surgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
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MeSH Terms
Adrenal Gland Neoplasms / surgery*
Adrenalectomy / adverse effects*
Anastomosis, Surgical
Celiac Artery / injuries,  radiography,  surgery*
Iatrogenic Disease
Mesenteric Artery, Superior / injuries,  radiography,  surgery*
Middle Aged
Nephrectomy / adverse effects*
Saphenous Vein / transplantation*
Splenic Artery / transplantation*
Tomography, X-Ray Computed
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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