Document Detail


Surgical management of pancreaticoduodenal artery aneurysms in association with celiac trunk occlusion or stenosis.
MedLine Citation:
PMID:  17349329     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Aneurysms of the visceral arteries, especially of the pancreaticoduodenal artery, are rare. They show a wide clinical spectrum, ranging from asymptomatic incidental findings to rupture-inducing catastrophic bleedings. Since growth progression and the risk of rupture cannot be foreseen and there is no relation between the size of the aneurysm and propensity to rupture, rupture unfortunately carries a high mortality, >50%. Thus, all aneurysms of the pancreaticoduodenal artery should be treated. The therapy of choice, either operative intervention or catheter embolization, is determined by many factors. Among these are localization, size, relation to other vessels and neighboring organs, the urgency of intervention, and the experience of the therapist. Surgical therapy should be favored in patients with pancreaticoduodenal artery aneurysm due to celiac trunk occlusion. We report here our experience in the surgical treatment of pancreaticoduodenal artery aneurysms in association with celiac trunk occlusion or stenosis over the last 5 years.
Authors:
Philipp Hildebrand; Hamed Esnaashari; Christian Franke; Conny Bürk; Hans Peter Bruch
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of vascular surgery     Volume:  21     ISSN:  0890-5096     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-03-12     Completed Date:  2007-03-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  10-5     Citation Subset:  IM    
Affiliation:
Department of Surgery, University of Schleswig-Holstein, Campus Lübeck, Lübeck, Germany. philipphildebrand@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm / radiography,  surgery*
Celiac Artery / pathology*
Constriction, Pathologic
Duodenum / blood supply*
Female
Humans
Male
Middle Aged
Pancreas / blood supply*
Retrospective Studies
Tomography, X-Ray Computed

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


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