| A Case of Celiac Artery Aneurysm
with Type IIIb Aortic Dissection |
(Second Department of Surgery, Yamanashi Medical
University, Yamanashi, Japan)
| Harunobu Matsumoto |
Shunya Shindo |
Okihiko Akashi |
| Kenji Kubota |
Atsuo Kojima |
Tadao Ishimoto |
| Keiji Iyori |
Masahiro Kobayashi |
Yusuke Tada |
|
Celiac artery aneurysm (CAA) is
very rare. We report a case of CAA with type IIIb aortic dissection
(DA) which was treated surgically. A 60-year-old man who had
an abnormal enlargement of the aorta on abdominal ultrasonography
was admitted to our hospital. Angiography and CT scan revealed
CAA with type IIIb DA. His general condition was stable and surgery
was performed electively. The CAA was exposed through a median
laparotomy. It was found to be about 3cm in diameter. As vascular
reconstruction seemed difficult and the proper hepatic artery
showed good pulsation after clamping the common hepatic artery,
we decided to perform celiac artery aneurysmectomy without vascular
reconstruction. Except for transient liver dysfunction, there
was no other complication and he was discharged on the 24th postoperative
day. During surgery for CAA, when collateral perfusion from the
SMA to the liver is adequate, it seems that vascular reconstruction
is not always necessary as shown by this case.
Jpn. J. Cardiovasc. Surg. 31: 359-362 (2002) |
|
