Lanka Santh Prakash, Sandhu Sukhwinder Johnny S, Farres Houssam, Erben Young
Division of Vascular and Endovascular Surgery, Mayo Clinic, Jacksonville, USA.
Department of Radiology, Mayo Clinic, Jacksonville, USA.
Cureus. 2023 Mar 9;15(3):e35923. doi: 10.7759/cureus.35923. eCollection 2023 Mar.
A celiomesenteric trunk (CMT) is a rare anatomic variant of a common origin for the celiac and superior mesenteric arteries. It is further a seldom occurrence to have aneurysmal dilatation of the CMT. Herein, we describe a patient with a CMT aneurysm and his open surgical repair. The open surgical repair included debranching from the right external iliac artery to the splenic and common origin of the superior mesenteric and common hepatic arteries using a bifurcated knitted graft. Postoperative recovery was unremarkable, and follow-up imaging demonstrated an excluded CMT aneurysm with excellent blood flow to the intra-abdominal organs through the bifurcated graft.
腹腔肠系膜干（CMT）是腹腔干和肠系膜上动脉共同起源的一种罕见解剖变异。CMT发生动脉瘤样扩张更是少见。在此，我们描述一名患有CMT动脉瘤的患者及其开放手术修复情况。开放手术修复包括使用分叉编织移植物从右髂外动脉进行分支至脾动脉以及肠系膜上动脉和肝总动脉的共同起源处。术后恢复顺利，随访影像学显示CMT动脉瘤被隔绝，通过分叉移植物向腹腔内器官的血流良好。
