SURGICAL MANAGEMENT OF OCCLUSION OF THE CELIAC TRUNK AND AN ANEURYSM OF THE INFERIOR PANCREATODUODENAL ARTERY

Chernyavskii A.M., Karpenko A.A., Starodubtsev V.B.
Centre for Surgery of the Aorta, Coronary and Peripheral Arteries Scientific Research Institute
for Circulatory Pathology named after Academician E.N. Meshalkin,
Novosibirsk, Russia

Presented in the article is a clinical case report of successful management of an aneurysm of the inferior pancreatoduodenal artery, having resulted from occlusion of the celiac trunk and a compensatory increase in the blood flow along it from the superior mesenteric artery into the basin of the celiac trunk. In the case report described, the authors used the technique of open surgical revascularization of the celiac trunk and autovenous prosthetic repair of the aneurysmatically altered inferior pancreatoduodenal artery. The surgical decision-making was determined by the fact that the commonly accepted endovascular bypass of the aneurysm would have resulted in the development of ischaemia in the basin of the celiac trunk and unpredictable alterations in the organs supplied thereby.

KEY WORDS: aneurysm, celiac trunk, pancreatoduodenal artery.

P. 115-117

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