Severe stenosis at the proximal celiac artery
with a relatively enlarged superior mesenteric artery still existed (Figure 5).
The aortic sheath was again placed, another stent with short tip (45x100 mm, Gore) was placed to the level where its distal tip reached celiac artery
. DSA demonstrated the re-routed blood fow to the true aortic lumen and no leak to the false lumen at the thoracic aortic segment (Fig.
Visceral artery aneurysms originate from the celiac artery
, the superior mesenteric artery, the inferior mesenteric artery, and the branches of these arteries (5, 6) and are very rare.
The normal circulation to the bowel includes blood supply from the celiac artery
, the superior mesenteric artery and the inferior mesenteric artery.
(20) Doppler ultrasound can be used to screen for median arcuate ligament syndrome by eliciting increased velocities suggestive of celiac artery
stenosis that may be more pronounced during inspiration.
Here, we present a case of infected suprarenal aortic aneurysm with a nearly occluded celiac artery
and superior mesenteric artery treated using an endovascular technique to preserve collateral in the retroperitoneal space from the inferior mesenteric artery for supplying visceral organs.
Abnormally downward located median arcuate ligament lies at the pathophysiology of this disease, and intestinal angina symptoms characterized by postprandial pain, nausea-vomiting and weight loss manifest themselves due to chronic compression the celiac artery
The celio-mesenteric trunk (CMT) is a rare vascular anomaly, characterized by the celiac artery
branches and the superior mesenteric artery arising from a single trunk on the anterior wall of the abdominal aorta.
The first limb of the new graft was anastomosed to the right renal artery in an end-to-side fashion, while the second limb was sutured to the superior mesenteric artery (side-to-side) and the celiac artery
(end-to-side), (Figure 2).
Computed tomography (CT) of the abdomen and pelvis with IV contrast was performed which showed a filling defect in the celiac artery
. Due to concern for dissection, a CT angiogram of the abdomen and pelvis was performed.
At that time, repeat CT imaging showed decrease in the size of her mass and persistent splenic artery encasement but minimal involvement of the celiac artery
and findings consistent with possible radiation-induced fibrosis (Figure 1(b)).