A 76-year-old man who have a history of pancreaticoduodenectomy was admitted to our hospital for surgical treatment of pararenal abdominal aortic aneurysm. He underwent thoracoabdominal aortic aneurysm repair through the Stoney's thoracoabdominal incision under partial cardiopulmonary bypass. Postoperatively, laboratory examination showed elevated pancreatic amylase and computed tomography revealed acute pancreatitis. Pancreatitis was successfully treated by giving IV protease inhibition and the patient went well thereafter. In patients with a history of pancreaticoduodenectomy, gentle surgical maneuver around the residual pancreas and adequate perfusion of celiac artery during thoracoabdominal aortic aneurysm repair were considered mandatory.
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