A Minimally Invasive Approach for Management of Pancreaticoduodenal Artery and Gastroduodenal Artery Aneurysm with Celiac Artery Occlusion

Overview

Journal J Vasc Surg Cases Innov Tech

Date 2023 Jun 30

PMID 37388670

Authors

Kaileen Fei

Sabino Zani Jr

James S Ronald

Cynthia K Shortell

Kevin W Southerland

Affiliations

Soon will be listed here.

Abstract

Management of pancreaticoduodenal artery aneurysms (PDAAs) and gastroduodenal artery aneurysms (GDAAs) with concomitant celiac occlusion represents a challenging clinical scenario. Here, we describe a 62-year-old female with PDAA and GDAA complicated by celiac artery occlusion due to median arcuate ligament syndrome. We used a staged, minimally invasive approach consisting of: (1) a robotic median arcuate ligament release; (2) endovascular celiac artery stenting; and (3) visceral aneurysm coiling. The findings from this case report represent a novel treatment strategy for the management of PDAA/GDAA with celiac artery compression secondary to median arcuate ligament syndrome.

Citing Articles

Robot-assisted vascular surgery: literature review, clinical applications, and future perspectives.

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PMID: 39174843 PMC: 11341614. DOI: 10.1007/s11701-024-02087-2.

Feasibility and safety of robotic-assisted surgical approach in median arcuate ligament syndrome-a systematic review.

Gunjiganvi M, Marthandam S, Murugesan R, Palaniappan R J Robot Surg. 2024; 18(1):318.

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