Symptomatic pancreaticoduodenal artery aneurysm with coeliac artery occlusion repaired by ligation of aneurysm and creation of neocoeliac trunk

Sutton–Kadir Syndrome can be treated safely with endovascular embolisation alone

“…Most of our cohort presented with one aneurysm affecting the IPDA close to its origin from the SMA 3,14 . This was in line with the PDA arcades functioning as the most significant collateral pathway in CA stenosis or occlusion 15,21,22,23 . Our results also reaffirmed that aneurysm size in SKS does not predict rupture 3,8–10,12 …”

“…3,14 This was in line with the PDA arcades functioning as the most significant collateral pathway in CA stenosis or occlusion. 15,21,22,23 Our results also reaffirmed that aneurysm size in SKS does not predict rupture. 3,[8][9][10]12 Notably, MAL compression was the aetiology of CA stenosis or occlusion found in all our patients.…”

“…4 In the last 2 years, however, there has been a resurgent interest in CA revascularisation and in open repair of SKS aneurysms and this might be due to the lack of condition-specific and high-level evidence based recommendations in current guidelines on visceral arterial aneurysm management. 6,7,11,13,[15][16][17]18 We aimed to assess if endovascular embolisation alone was safe and effective in treatment of SKS aneurysms in the emergent and elective settings, by examining management of patients at our tertiary centre over the last 8 years. The primary objective was to analyse treatment safety and efficacy.…”

“…Historically, this has been with open aneurysm ligation but in the last two decades, with endovascular embolisation 4 . In the last 2 years, however, there has been a resurgent interest in CA revascularisation and in open repair of SKS aneurysms and this might be due to the lack of condition‐specific and high‐level evidence based recommendations in current guidelines on visceral arterial aneurysm management 6,7,11,13,15–17,18 …”