Primary intra-aneurysmal surgical repair of a celiomesenteric trunk aneurysm

VonDerHaar, R. Jason; Shah, Aamir S.; Nissen, Nicholas N.; Gewertz, Bruce L.

doi:10.1016/j.jvsc.2014.11.003

Cited by 4 publications

(8 citation statements)

References 16 publications

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“…Visceral artery aneurysm is a rare disease, and the reported incidence is 0.1% to 0.2% of the population [ 1 , 2 ]. A CMT aneurysm is even rarer.…”

Section: Discussionmentioning

confidence: 99%

“…A CMT aneurysm is even rarer. A literature search revealed only 21 cases during the last 47 years [ 1 – 15 ], since Stanley et al [ 3 ] reported the first case treated by open repair. All the reported cases were treated by open surgical repair.…”

Section: Discussionmentioning

confidence: 99%

“…The celiomesenteric trunk (CMT) is a rare developmental vascular anomaly sharing common origin of the celiac trunk and superior mesenteric artery (SMA) from the aorta [ 1 ]. An aneurysm in the CMT is very rare, but a challenging disease to treat because of the complex anatomic location.…”

Section: Introductionmentioning

confidence: 99%

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Endovascular Treatment of a Saccular Aneurysm in the Celiomesenteric Trunk: A Case Report and Review of Literature

Lee

Jae

Ahn

et al. 2018

VSI

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To present a world-first case of a successful endovascular treatment of a celiomesenteric trunk (CMT) aneurysm. A 45-year-old man had an asymptomatic saccular aneurysm in a rare anomaly of CMT. Endovascular multiple micro-coil embolization of the common hepatic artery, splenic artery and the aneurysm was done, followed by a stent-graft deployment in the superior mesenteric artery covering the orifice to the aneurysm. Postoperative course was uneventful. Only 21 cases have been previously reported in the literature, and all were treated by open surgeries. Endovascular therapy can be safely done in selected cases of a CMT aneurysm with sufficient collaterals to the liver and spleen.

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“…Visceral artery aneurysm is a rare disease, and the reported incidence is 0.1% to 0.2% of the population [ 1 , 2 ]. A CMT aneurysm is even rarer.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Endovascular Treatment of a Saccular Aneurysm in the Celiomesenteric Trunk: A Case Report and Review of Literature

Lee

Jae

Ahn

et al. 2018

VSI

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“…CMT anatomic variations are rare; they have been reported to range between 1% and 2.7% of cases [ 8 ], whereas the incidence of visceral aneurysms ranges between 0.1% and 0.2% in the general population [ 9 ]. CMT aneurysm is even rarer and occurs in only 0.25% of all visceral artery anomalies.…”

Section: Introductionmentioning

confidence: 99%

Persistence of Abdominal Pain: Did You Check for Mesenteric Vessels?

et al. 2023

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The incidence of abnormalities regarding the celiac-mesenteric trunk (CMT) has been reported to be between 1% and 2.7%, whereas for visceral aneurysms the incidence is between 0.1% and 0.2% of the general population. Anatomical variations in the CMT may be the result of abnormal embryogenesis of the primitive segmental splanchnic arteries that supply the bowel and several abdominal organs. The clinical presentation may range from vague abdominal symptoms to aneurysm rupture with a significant mortality risk. In this case, we describe the clinical history of a 37-year-old man with postprandial abdominal pain likely related to the celiac-mesenteric trunk enlargement, associated with high resistance flow in the proximal site. Postprandial symptoms improved by avoiding large meals and surveillance for the CMT anomalies was recommended by cross-imaging including the echo-color-Doppler to assess blood flow modification.

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“…[1][2][3] Prior reports of patients with CMTs and aneurysmal or occlusive disease have focused on techniques of open or endovascular reconstructions, but none have described the use of fenestrated-branched endovascular aortic repair (FB-EVAR) for treatment of thoracoabdominal aortic aneurysms (TAAAs). [4][5][6][7][8][9][10] We report a patient who presented with a 7.9-cm TAAA affecting a CMT and was treated by FB-EVAR using double kissing directional branches for incorporation of the celiac axis (CA) and the superior mesenteric artery (SMA).…”

Section: Introductionmentioning

confidence: 99%

Incorporation of Celiomesenteric Trunk With Double Kissing Directional Branches During Fenestrated-Branched Endovascular Aortic Repair

et al. 2021

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Purpose: Common celiomesenteric trunk (CMT) is a rare anatomical variation that occurs in 0.5% to 3.4% of the general population. Its presence may complicate planning and implantation of fenestrated and branched stent-grafts because the wide diameter and short length of the CMT to its bifurcation does not allow sufficient sealing for placement of bridging stents. Case Report: We report a patient with thoracoabdominal aortic aneurysm (TAAA) and CMT treated by fenestrated-branched endovascular aortic repair (FB-EVAR) using double kissing directional branches to incorporate the celiac axis and superior mesenteric artery. Pitfalls of stent design and implantation are outlined. Conclusion: Double kissing directional branches should be considered as an alternative to incorporate vessels with early bifurcation such as a CMT.

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Primary intra-aneurysmal surgical repair of a celiomesenteric trunk aneurysm

Cited by 4 publications

References 16 publications

Endovascular Treatment of a Saccular Aneurysm in the Celiomesenteric Trunk: A Case Report and Review of Literature

Endovascular Treatment of a Saccular Aneurysm in the Celiomesenteric Trunk: A Case Report and Review of Literature

Persistence of Abdominal Pain: Did You Check for Mesenteric Vessels?

Incorporation of Celiomesenteric Trunk With Double Kissing Directional Branches During Fenestrated-Branched Endovascular Aortic Repair

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