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A Hybrid Approach in the Management of a Large Pancreaticoduodenal Artery Aneurysm.

Abstract
Pancreaticoduodenal artery aneurysms (PDAA) are rare and represent a small fraction of known visceral aneurysms. We describe a case of a 79-year-old male with an 82 mm PDAA in the setting of chronic celiac artery occlusion. The patient was treated with an open repair. Due to the large size of the aneurysm and the dense adhesions to the surrounding tissues, vascular control of the superior mesenteric artery (SMA) was achieved by endovascular balloon occlusion and the aneurysm repaired with resection and primary aneurysmorrhaphy. The patient had an uneventful postoperative course.
AuthorsUlugbek Negmadjanov, John C Motta, Eileen De Grandis, W Anthony Lee
JournalAnnals of vascular surgery (Ann Vasc Surg) Vol. 79 Pg. 441.e1-441.e5 (Feb 2022) ISSN: 1615-5947 [Electronic] Netherlands
PMID34653641 (Publication Type: Case Reports)
CopyrightCopyright © 2021 Elsevier Inc. All rights reserved.
Topics
  • Aged
  • Aneurysm (diagnostic imaging, therapy)
  • Balloon Occlusion
  • Combined Modality Therapy
  • Duodenum (blood supply)
  • Endarterectomy
  • Endovascular Procedures
  • Humans
  • Male
  • Mesenteric Artery, Superior (diagnostic imaging, surgery)
  • Pancreas (blood supply)
  • Suture Techniques
  • Treatment Outcome

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