Superior Mesenteric Artery–Pancreaticoduodenal Arcade Bypass Grafting for Repair of Inferior Pancreaticoduodenal Artery Aneurysm with Celiac Axis Occlusion

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  • Murata Akira
    Department of Cardiovascular Surgery, Toyama Prefectural Central Hospital
  • Amaya Koji
    Department of Surgery, Toyama Prefectural Central Hospital
  • Mochizuki Kentaro
    Department of Radiology, Toyama Prefectural Central Hospital
  • Sotokawa Masami
    Department of Cardiovascular Surgery, Toyama Prefectural Central Hospital
  • Otaka Shingo
    Department of Cardiovascular Surgery, Toyama Prefectural Central Hospital
  • Tani Kazuhiro
    Department of Cardiovascular Surgery, Toyama Prefectural Central Hospital
  • Nakagaki Shota
    Department of Cardiovascular Surgery, Toyama Prefectural Central Hospital
  • Ueda Tetsuyuki
    Department of Cardiovascular Surgery, Toyama Prefectural Central Hospital

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<p>We report a case of an aneurysm of the inferior pancreaticoduodenal artery (IPDA), with chronic occlusion of the celiac axis. Both surgical aneurysmectomy and endovascular coil embolization were anticipated to sacrifice IPDA, which could lead to severe acute ischemia in the celiac region. The treatment involved surgical ligation of the aneurysm after bypass grafting from the superior mesenteric artery to the anterior IPDA. A postoperative computed tomography revealed no enhancement of the aneurysm and sufficient collateral blood supply by the patent bypass graft.</p>

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