Affiliation:
1. Toyonaka Municipal Hospital
2. Nippon Life Hospital
3. Osaka University Graduate School of Medicine
Abstract
Abstract
Background
The celiacomesenteric trunk (CMT) is a common duct of the celiac artery (CA) and the superior mesenteric artery (SMA) originating from the aorta, which is an uncommon anatomical anomaly of the visceral artery. Because of the variety of visceral circulation in those with CMT, the visceral circulation associated with each branch should be evaluated prior to surgical treatment of visceral artery aneurysm in the CMT.
Case Presentation:
A 64-year-old woman was diagnosed with a celiac artery aneurysm in the CMT. Aneurysmectomy of the aneurysm was performed successfully. On preoperative selective visceral angiography, the CA was seen to bifurcate into the common hepatic and splenic artery. The left gastric artery was directly isolated from the aorta and perfused to the common hepatic and splenic artery through collateral circulation. These findings showed that celiac artery embolization is anatomically feasible, even in cases of celiac artery aneurysm rupture.
Conclusions
Selective visceral angiography can contribute to surgical strategy planning in similar cases.
Publisher
Research Square Platform LLC