Skip to main content
Log in

Aneurysm of the gastroduodenal artery associated with stenosis of the superior mesenteric artery

  • Case Reports
  • Published:
Annals of Vascular Surgery

Abstract

A 68-year-old patient was hospitalized after the incidental discovery of an aneurysm of the gastroduodenal artery associated with stenosis of the superior mesenteric artery. This patient had severe heart failure, which led to acute pulmonary edema and inoperable triple-vessel coronary disease. In the first of two procedures the superior mesenteric artery was dilated; 48 hours later the gastroduodenal artery aneurysm was embolized with minicoils and acryl glue. Immediate and follow-up arteriograms at 10 months showed that results were satisfactory. Transluminal treatment of both lesions is an alternative to surgical treatment, especially in high-risk patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Sutton D, Lawton G. Celiac stenosis or occlusion with aneurysm of the collateral supply. Clin Radiol 1973;24:49–53.

    PubMed  Google Scholar 

  2. Quandalle P, Chambon JP, Marache P, et al. Pancreaticoduodenal artery aneurysms associated with celiac axis stenosis: Report of two cases and review of the literature, Ann Vasc Surg 1990;4:540–545.

    PubMed  Google Scholar 

  3. Billon JF, Gouillat C, Brudon JR, et al. Traitement chirurgical des anévrysmes des artères digestives: A propos de 23 cas. Lyon Chir 1989;85:367–371.

    Google Scholar 

  4. Proud G, Chamberlain J. Aneurysm formation on the small pancreatic arteries in association with coeliac axis compression. Ann R Coll Surg Engl 1978;60:294–297.

    PubMed  Google Scholar 

  5. Mora JD, Obst D. Celiac axis artery stenosis with aneurysmal calcification of the collateral supply. Aust Radiol 1976;20: 252–258.

    Google Scholar 

  6. Spanos PK, Kloppedal EA, Murray CA. Aneurysms of the gastroduodenal and pancreaticoduodenal arteries. Am J Surg 1974;127:345–348.

    PubMed  Google Scholar 

  7. Mellière D, Becquemin JP, Kassab M, et al. Anévrysmes des artères digestives: Quelles indications? J Mal Vasc 1989;14: 206–212.

    PubMed  Google Scholar 

  8. Stanley JC, Zelenock GB. Splanchnic artery aneurysm. In Rutherford R, ed. Vascular Surgery. Philadelphia: WB Saunders, 1984, pp 969–983.

    Google Scholar 

  9. Baker KS, Tisnado J, Cho SR, et al. Splanchnic artery aneurysms and pseudoaneurysms: Transcatheter embolization. Radiology 1987;163:135–139.

    PubMed  Google Scholar 

  10. Thakker RV, Gajjar B, Wilkins RA, et al. Embolization of gastroduodenal artery aneurysm caused by chronic pancreatitis. Gut 1983;24:1094–1098.

    PubMed  Google Scholar 

  11. Lina JR, Jaques P, Mandell V. Aneurysm rupture secondary to transcatheter embolization. AJR 1979;132:553–556.

    PubMed  Google Scholar 

  12. Mandel SR, Jaques PF, Sanofsky S, et al. Nonoperative management of peripancreatic arterial aneurysms: A 10 years experience. Ann Surg 1987;205:126–128.

    PubMed  Google Scholar 

  13. Beebe HG, Mc Farlaine S, Raker EJ. Supraceliac aortomesenteric bypass for intestinal ischemia. J Vasc Surg 1987;5:749–754.

    PubMed  Google Scholar 

  14. Kieny R, Batellier J, Kretz JG. Aortic reimplantation of the superior mesenteric artery for atherosclerotic lesions of the visceral arteries: Sixty cases. Ann Vasc Surg 1990;4:122–125.

    PubMed  Google Scholar 

  15. Rapp JH, Reilly LM, Qvarfordt PG. Durability of endarterectomy and antegrade grafts in the treatment of chronic visceral ischemia. J Vasc Surg 1986;3:799–806.

    PubMed  Google Scholar 

  16. Taylor LM, Moneta GL. Intestinal ischemia. Ann Vasc Surg 1991;5:403–406.

    PubMed  Google Scholar 

  17. Tegtmeyer CJ, Selby JB. Balloon angioplasty of the visceral arteries (renal and mesenteric circulation): Indications, results, and complications. In Moore WS, Ahn SS, eds. Endovascular Surgery. Philadelphia: WB Saunders, 1989, pp 223–257.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

About this article

Cite this article

Gouny, P., Fukui, S., Aymard, A. et al. Aneurysm of the gastroduodenal artery associated with stenosis of the superior mesenteric artery. Annals of Vascular Surgery 8, 281–284 (1994). https://doi.org/10.1007/BF02018176

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02018176

Keywords

Navigation