1887
Volume 2011, Issue 2
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Celiac trunk aneurysm is a rare finding. Most patients are symptomatic at the time of diagnosis but occasionally such aneurysms are detected incidentally during diagnostic imaging for other diseases. Since the anomaly was first described in 1745(1) fewer than 180 cases have been reported in the international medical literature.(2) Atherosclerotic aneurysms of the celiac artery (CAAs) comprise approximately 4–6% of all visceral aneurysms.(3–4) Early surgical intervention has reduced the rupture rate to 7% in recent years.(5) Early recognition and intervention are crucial because the operative mortality rate associated with ruptured celiac artery aneurysms is around 40%.(6) There are no absolute size criteria associated with significant rates of CAA rupture, but 2 cm appears to warrant intervention in most series.(7–8) Surgical reconstruction, surgical ligation, intraluminal embolization, thrombin injection and endovascular grafting have all been reported with success/9”11) We present a case of a 6.9 cm symptomatic celiac artery aneurysm treated successfully with endovascular stenting.

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2011-12-01
2024-11-13
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References

  1. Lancissii GM. De motu cordis et aneurysmotibus opus humum. Rome, 1745. Wright WC, translator. New York: Mocmillan Publishing Co 1952.
    [Google Scholar]
  2. McMullan DM, McBride M, Livesay JJ, Dougherty KJ, Krajcer Z. Artery Aneurysm: A case report. Tex Heart Inst J. 2006; 33:2:235240.
    [Google Scholar]
  3. Risher WH, HoiHer LH, Bolton JS, Oschsner JL. Celiac artery aneurysm. Ann Vase Surg. 1991; 5::392395.
    [Google Scholar]
  4. Stone WM, Abbas MA, Gloviczki P. Celiac arterial aneurysms a critical reappraisal of a rare entity. Arch Surg. 2002; 137::670674.
    [Google Scholar]
  5. Shanley CJ, Shah NL, Messina LM. Common splanchnic artery aneurysms: Splenic, hepatic, and celiac. Ann Vase Surg. 1996; 10::315322.
    [Google Scholar]
  6. Graham LM, Stanley JC, Whitehouse WM Jr, Zelenock GB, Wakefield TW, Cronenwett JL, Lindenauer SM. Celiac artery aneurysms: Historic (1745–1949) versus contemporary (7950–1984) differences in etiology and clinical importance. J Vase Surg. 1985; 2::757764.
    [Google Scholar]
  7. Stone WM, Abbas MA, Gloviczki P. Celiac arterial aneurysms: A critical reappraisal of a rare entity. Arch Surg. 2002; 137::670674.
    [Google Scholar]
  8. Graham LM, Stanley JC, Whitehouse WM Jr. Celiac artery aneurysms: Historic (1745–1949) versus contemporary (1950–1984) differences in etiology and clinical importance. J Vase Surg. 1985; 2::757764.
    [Google Scholar]
  9. Rodrigus IE, Berry MC, Gdeedo A. Surgical management of concurrent celiac and bilateral iliac artery aneurysms. Cardiovasc Surg. 1995; 3::501503.
    [Google Scholar]
  10. Wagner WH, Allins AD, Treiman RL. Ruptured visceral artery aneurysms. Ann Vase Surg. 1997; 11::342347.
    [Google Scholar]
  11. Glickerman DJ, Hathaway PB, Hatsukami T. Transluminal treatment of a celiac artery pseudoaneurysm with a stent graft occlusion device. Cardiovasc Intervent Radiol. 1997; 20::466469.
    [Google Scholar]
  12. Laipply TC. Syphilitic aneurysm of celiac artery. Am J Sci. 1943; 206::453457.
    [Google Scholar]
  13. Stanley JC, Whitehouse WM Jr. Splanchnic artery aneurysms. In: Rutherford RB, ed. Vascular Surgery. 6th Ed.
    [Google Scholar]
  14. Vohra R, Can HMH, Welch M. Management ofcoeliac artery aneurysms. Br J Surg. 1991; 78::1373.
    [Google Scholar]
  15. Graham LM, Stanley JC, Whitehouse WM Jr. Celiac artery aneurysms: Historic (1745–1949) versus contemporary (1950–1984) differences in etiology and clinical importance. J Vase Surg. 1985; 2:5:757764.
    [Google Scholar]
  16. Graham LM, Stanley JC, Whitehouse WM Jr. Syphilitic aneurysm of celiac artery. Am J Sci. 1943; 206::453457.
    [Google Scholar]
  17. Phillips WS, Macmanus Q, Lefrak EA. Celiac artery aneurysms: Case reports. Va Med O. 1991; 118:4:235238.
    [Google Scholar]
  18. Junewick JJ, Grant TH, Weiss CA. Celiac artery aneurysm: Color Doppler evaluation. J Ultrasound Med. 1993; 12::355.
    [Google Scholar]
  19. Van Berge Henegouwen DB. Aneurysmen der intestinalarterien. Langenbecks Arch Chir Suppl II Verh Keutschen Ges Chir. 1990; 2::341.
    [Google Scholar]
  20. Rokke O, Sondenaa K, Amundsen S, Bjerke-Larssen T, Jensen D. The diagnosis and management of splanchnic artery aneurysms. Scand J Gastroenterol. 1996; 31::737743.
    [Google Scholar]
  21. Messina LM, Shanley CJ. Visceral artery aneurysms. Surgical clinics of North America. 1997; 77::425442.
    [Google Scholar]
  22. Lukes P, Wihed A, Tidebrant G. Angiography of visceral aneurysms. Eur Radiol. 1994; 4::75.
    [Google Scholar]
  23. McMullan DM, McBride M, Livesay JJ, Dougherty KG, Krajcer Z. Celiac artery aneurysm: A case report. Tex Heart Inst J. 2006; 33:2:235240.
    [Google Scholar]
  24. Wagner WH, Allins AD, Treiman RL. Ruptured visceral artery aneurysms. Ann Vase Surg. 1997; 11::342347.
    [Google Scholar]
  25. Wagner WH, Allins AD, Treiman RL. Ruptured visceral artery aneurysms. Ann Vase Surg. 1997; 11::342347.
    [Google Scholar]
  26. Graham LM, Stanley JC, Whiterhouse WM Jr. Celiac artery aneurysms: Historic (1745–1949) versus contemporary (1950–1984) difference on etiology and clinical importance. J Vase Surg. 1985; 2::7577664.
    [Google Scholar]
  27. Stambo GW, Hallisey MJ, Gallager JJ. Arter- iographic embolization of visceral artery pseudoaneurysms. Ann Vase Surg. 1996; 15::424430.
    [Google Scholar]
/content/journals/10.5339/qmj.2011.2.20
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  • Article Type: Case Report
Keyword(s): aneurysmCeliac arterycomputed angiography and stent graft
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