A hybrid procedure for middle colic artery aneurysm complicated by chronic juxtarenal segmental aortic occlusion

Hanada, Kazumasa; Takayama, Tadatoshi; Sasaki, Takayoshi; Taniguchi, Rin Ichiro; Hoshina, Katsuyuki

doi:10.1016/j.jvscit.2019.03.011

Cited by 3 publications

(2 citation statements)

References 14 publications

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“… 2 , 12 A combined approach in one patient with chronic aortic occlusion has also been described. 13 However, the present case is the first where an intra-aortic balloon catheter has been placed for a ruptured MCA aneurysm, in case of a need for emergency vascular control. Management of severe exsanguinating hemorrhage from abdominal vasculature is not a new subject and is well represented in the trauma literature.…”

Section: Discussionmentioning

confidence: 85%

Ruptured Middle Colic Artery Aneurysm Presenting with Symptoms of Acute Cholecystitis: A Case Report and Literature Review

Dhaliwal

Launcelott

Hyun

et al. 2022

IMCRJ

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Background: Ruptured middle colic artery aneurysm is extremely uncommon. Diagnosis can be challenging, as symptomatology can be attributed to more common abdominal pathologies. Due to the rarity of this condition, only case reports are available to inform management. Case Presentation: We present the case of a 72-year-old woman with a ruptured middle colic artery aneurysm presenting with signs and symptoms more suggestive of acute calculous cholecystitis. Her co-existing bleed was confirmed on CT angiogram. Coil embolization was initially attempted unsuccessfully. She underwent laparotomy, a middle colic artery ligation, and extended right hemicolectomy with intra-aortic balloon placement for emergency proximal vascular control. Post-operatively, she had a re-bleed that was successfully managed with covered stent placement in the proximal superior mesenteric artery after an unsuccessful re-attempt at coil embolization. Her apparent associated cholecystitis was managed with antibiotics and resolved uneventfully. Conclusion:A middle colic artery aneurysm can be challenging to diagnose and treat. Management options include endovascular techniques, open surgery, or a combination approach. Intra-aortic balloon placement for emergency vascular control is a novel approach that could avoid hemorrhage when intra-abdominal vascular access is challenging.

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Section: Discussionmentioning

confidence: 85%

Ruptured Middle Colic Artery Aneurysm Presenting with Symptoms of Acute Cholecystitis: A Case Report and Literature Review

Dhaliwal

Launcelott

Hyun

et al. 2022

IMCRJ

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“…4 Very few MCAA cases have been reported in the literature with only 3 cases accounting for a diameter >4 cm (Table 1). [5][6][7][8][9][10][11][12][13][14][15][16][17][18] Aim of this report was to present the successful management of a patient with a large, isolated, non-ruptured MCAA and highlight the need for collaboration between vascular and general surgeons in such challenging cases. Informed consent has been obtained from the patient for publication of the case report and accompanying images.…”

Section: Introductionmentioning

confidence: 99%

Open Management of an Asymptomatic 4.2 Cm Middle Colic Artery Aneurysm and Liteture Review

Dimitriadis,

Karanikas,

Malafi

et al. 2023

Vasc Endovascular Surg

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Background Aneurysms of the middle colic artery (MCAA) and its branches are exceedingly rare accounting for <3% of total visceral aneurysms. Very few MCAA cases have been reported in the literature with only three cases accounting for a diameter >4 cm. Method We describe the successful open repair with ligation of a 4.2 cm asymptomatic MCAA in a female patient through the gastrohepatic ligament taking meticulous caution to avoid injury of the pancreas. The postoperative period was uneventful and the patient was discharged from the hospital on the fifth postoperative day. At 1 month follow-up the postoperative computed tomographic angiography documented complete exclusion of the MCAA and absence of contrast agent in the sac both in the arterial and the venous phase. Conclusion While the endovascular treatment is the first-line option for visceral aneurysms, the open approach is still reserved for certain cases of hostile anatomy, challenging location and large size. Our case highlights the irreplaceable role of open surgery and underlines the collaboration between surgical specialties.

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Ruptured middle colic artery aneurysm: A rare vascular presentation in a patient with Still's disease. A systematic literature review

Iannone,

Cicioni,

De Padua

et al. 2024

Annals of Vascular Surgery - Brief Reports and Innovations

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A hybrid procedure for middle colic artery aneurysm complicated by chronic juxtarenal segmental aortic occlusion

Cited by 3 publications

References 14 publications

Ruptured Middle Colic Artery Aneurysm Presenting with Symptoms of Acute Cholecystitis: A Case Report and Literature Review

Ruptured Middle Colic Artery Aneurysm Presenting with Symptoms of Acute Cholecystitis: A Case Report and Literature Review

Open Management of an Asymptomatic 4.2 Cm Middle Colic Artery Aneurysm and Liteture Review

Ruptured middle colic artery aneurysm: A rare vascular presentation in a patient with Still's disease. A systematic literature review

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