AI Article Synopsis
- A pancreaticoduodenal artery (PDA) aneurysm can form due to increased blood flow when there's a blockage in the celiac or superior mesenteric arteries.
- The study reports two cases of ruptured PDA aneurysms linked to celiac artery obstruction from dissection, where the aneurysms were treated but revascularization of the celiac artery was unsuccessful.
- Findings suggest that endovascular techniques for managing ruptured PDA aneurysms and conservative approaches for addressing celiac artery obstruction can be effective initial treatments.
Article Abstract
A pancreaticoduodenal artery (PDA) aneurysm develops due to increased flow through the pancreaticoduodenal arcade in the setting of celiac or superior mesenteric artery occlusion. Additionally, there is no evidence on the computed tomography scan or angiography images that the dissection process extends to the PDA arcade. Moreover, the optimal treatment protocols for PDA aneurysms with celiac artery obstruction and for celiac artery dissection are controversial. We report 2 cases of ruptured PDA aneurysms caused by celiac artery obstruction due to celiac artery dissection in which the aneurysm was excluded, but celiac artery revascularization was not performed successfully. Our cases indicate that endovascular management for ruptured PDA aneurysms and conservative management for celiac artery obstruction due to celiac artery dissection are feasible as first-line treatment in such cases.
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| http://dx.doi.org/10.1177/1538574418784691 | DOI Listing |
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