Open surgical repair of a giant celiac artery aneurysm with complex anatomy using a retrograde balloon occlusion technique

Several options exist for the treatment of celiac artery (CA) aneurysms (CAAs), including surgical repair and endovascular procedures. However, treatment of CAAs can be challenging owing to their proximity to the ostium of the CA and involvement of the CA branches. In the present report, we have des...

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Bibliographic Details
Main Authors: Hirotsugu Ozawa, MD, Kenjiro Kaneko, MD, Masamichi Momose, MD, Shigeki Hirayama, MD, Takao Ohki, MD, PhD
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
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Online Access:http://www.sciencedirect.com/science/article/pii/S2468428723000217
Description
Summary:Several options exist for the treatment of celiac artery (CA) aneurysms (CAAs), including surgical repair and endovascular procedures. However, treatment of CAAs can be challenging owing to their proximity to the ostium of the CA and involvement of the CA branches. In the present report, we have described a case of a giant CAA extending from the proximal CA to the hepatosplenic bifurcation. Owing to the anatomic complexity of this CAA, proximal control was a major therapeutic concern. The patient underwent open aneurysmectomy using the retrograde balloon occlusion technique to control the inflow of the CAA, with a satisfactory result.
ISSN:2468-4287