Salmon R, Cornud F, Guinard J, Gayral F, Buffet C, Courpotin G, De Parades B, Lasry J L, Larrieu H
J Cardiovasc Surg (Torino). 1980 Nov-Dec;21(6):719-22.
Aneurysms of the celiac axis are rare, since only 50 cases were reported in 1976, 14 of which were operated on successfully. We report here the 15th case. This celiac aneurysm involved the origin of the splenic left gastric and common hepatic arteries. After controlling the aorta by a thoraco-phrenolaparotomy, the celiac artery was ligated at its origin, the anterior wall of the aneurysm was incised and the splenic and the left gastric arteries ligated by an obliterative endoaneurysmorrhaphy. The hepatic vascularization was restored from the gastroduodenal artery with a restorative endoaneurysmorrhaphy. The control arteriogram showed a good arterial revascularization.
腹腔干动脉瘤很罕见，因为1976年仅有50例病例报道，其中14例成功接受了手术。我们在此报告第15例病例。该腹腔干动脉瘤累及脾动脉、胃左动脉和肝总动脉的起始部。通过胸腹联合切口控制主动脉后，在腹腔干动脉起始部将其结扎，切开动脉瘤前壁，采用闭塞性动脉瘤内缝合法结扎脾动脉和胃左动脉。通过修复性动脉瘤内缝合法，利用胃十二指肠动脉恢复肝脏血供。术后血管造影显示动脉血运重建良好。
