一种用于治疗伴有腹腔干闭塞的胰十二指肠动脉和胃十二指肠动脉瘤的微创方法。
A minimally invasive approach for management of pancreaticoduodenal artery and gastroduodenal artery aneurysm with celiac artery occlusion.
作者信息
Fei Kaileen, Zani Sabino, Ronald James S, Shortell Cynthia K, Southerland Kevin W
机构信息
Duke University School of Medicine, Durham, NC.
Division of Surgical Oncology, Department of Surgery, Duke University Medical Center, Durham, NC.
出版信息
J Vasc Surg Cases Innov Tech. 2023 Apr 7;9(3):101180. doi: 10.1016/j.jvscit.2023.101180. eCollection 2023 Sep.
Management of pancreaticoduodenal artery aneurysms (PDAAs) and gastroduodenal artery aneurysms (GDAAs) with concomitant celiac occlusion represents a challenging clinical scenario. Here, we describe a 62-year-old female with PDAA and GDAA complicated by celiac artery occlusion due to median arcuate ligament syndrome. We used a staged, minimally invasive approach consisting of: (1) a robotic median arcuate ligament release; (2) endovascular celiac artery stenting; and (3) visceral aneurysm coiling. The findings from this case report represent a novel treatment strategy for the management of PDAA/GDAA with celiac artery compression secondary to median arcuate ligament syndrome.
处理伴有腹腔干闭塞的胰十二指肠动脉瘤（PDAA）和胃十二指肠动脉瘤（GDAA）是一种具有挑战性的临床情况。在此，我们描述了一名62岁女性，患有PDAA和GDAA，并因正中弓状韧带综合征而并发腹腔干闭塞。我们采用了一种分期的微创方法，包括：（1）机器人辅助正中弓状韧带松解术；（2）腹腔干血管内支架置入术；（3）内脏动脉瘤弹簧圈栓塞术。本病例报告的结果代表了一种针对继发于正中弓状韧带综合征的腹腔干受压所致PDAA/GDAA的新型治疗策略。
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