Department of Surgery, Shinko Hospital, Kobe, Japan.
J Vasc Surg. 2011 Dec;54(6):1805-7. doi: 10.1016/j.jvs.2011.05.015. Epub 2011 Jul 31.
Celiac artery aneurysms anomalously arising from the celiomesenteric trunk (hepatosplenomesenteric trunk) are rare, with only four patients reported thus far. Surgical intervention for this condition is challenging, particularly when the aneurysm is large and in a retropancreatic location. We report an open repair surgery in a 54-year-old asymptomatic man who presented with a saccular calcified aneurysm (diameter, 4.0 cm) of the celiac artery originating from the celiomesenteric trunk. Our technique involved minimal dissection of the surrounding vessels and complete aneurysm resection, along with revascularization of the hepatic, splenic, and superior mesenteric arteries with a single anastomosis.
发自腹腔肠系膜干（肝脾肠系膜干）的罕见腹腔动脉动脉瘤，迄今仅报道过四例。对于这种情况的手术干预具有挑战性，特别是当动脉瘤较大且位于胰后位置时。我们报告了一例 54 岁无症状男性的开放修复手术，他患有起源于腹腔肠系膜干的腹腔动脉囊状钙化性动脉瘤（直径 4.0 厘米）。我们的技术涉及对周围血管的最小解剖和完全切除动脉瘤，以及通过单一吻合术对肝、脾和肠系膜上动脉进行再血管化。
