Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1384
8
1
gregorian
2005
11
1
19
3
online
1
fulltext
en
CELIAC ARTERY ANEURYSM: A NEW METHOD IN THE MANAGEMENT OF AN OLD PROBLEM
Vascular & Trauma Surgery
Vascular & Trauma Surgery
case report
case report
Celiac artery aneurysm is a rare visceral aneurysm, comparising only 4 % of them.
In this article, an innovative surgical method is presented for the treatment o f such
aneurysms.
A 53 year old female referred to our center with epigastric pain and a mass in the
region, which was diagnosed as a case of celiac artery aneurysm by using different
imaging techniques. During the operation, according to the firm adherence of the mass
to the aorta and a short celiac artery stump, we omitted aortic clamping and took
control of entrance and exit sites to the aneurysm using a Foley and a Fogarthy catheter
respectively. Using the normal part of the aneurysm's wall, the damaged part was trimmed
and patched with a PTFE vascular patch.
The patient was discharged satisfactorily in two days and did not have any problem
in her follow-up. There was no need for extracorporeal oxygenation and total time
of the procedure and vascularization was shortened.
This surgical method obviates extracorporeal oxygenation due to reduction of
aortic clamping time. Total procedure time and revascularization time will be shortened.
It is proposed as an alternate method in cases when a short stump restricts proximal
clamping, and also since there is little risk of renal and visceral ischemia.
Celiac artery, Visceral aneurysm, Clamping time, PTFE patch repair
271
274
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-298-50&slc_lang=en&sid=1
M.R
KALANTAR MOTAMEDI
kalmotam@yahoo.com
20031947532846003413
20031947532846003413
Yes
Department of Trauma and Vascular Surgery, Shohada Tajrish Medical Center, Shahid Beheshti
F
AGHAEE MEYBODI
20031947532846003414
20031947532846003414
No
F
MALEKPOUR GHORBANI
20031947532846003415
20031947532846003415
No
S
SASANI
20031947532846003416
20031947532846003416
No