Aneurisma de artéria pancreatoduodenal inferior: tratamento endovascular
Inferior pancreaticoduodenal artery aneurysm: endovascular approach
Patrick Bastos Metzger; Kamilla Rosales Costa; Simone Lessa e Silva; Alan Costa Gouveia; Murilo Quadro Berbert; Milton Oliveira de Albuquerque Mello; Fabrício Mascarenhas de Oliveira; Ricardo Fernandes Ferraz Melo
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Abstract
Aneurysms of the pancreaticoduodenal arteries are a rare condition. In the majority of cases, diagnosis is made in emergency situations due to complications such as rupture, which is associated with high mortality rates (21-26%). Embolization of the aneurysm sac is the treatment of choice, because of its high efficacy and lower mortality. This article presents and discusses a case of inferior pancreaticoduodenal artery aneurysm that was diagnosed during investigation of gastrointestinal symptoms. The treatment provided was microcoil embolization, with complete exclusion of the aneurysm and a good clinical course
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References
1 Vandy FC, Sell KA, Eliason JL, Coleman DM, Rectenwald JE, Stanley JC. Pancreaticoduodenal and gastroduodenal artery aneurysms associated with celiac artery occlusive disease. Ann Vasc Surg. 2017;41:32-40.
2 Jacobs CR, Crawford JD, Fatima J. Hybrid management approach for superior mesenteric artery and branch aneurysms. J Vasc Surg Cases Innov Tech. 2019;5(4):521-4.
3 Bonardelli S, Spampinato B, Ravanelli M, et al. The role of emergency presentation and revascularization in aneurysms of the peripancreatic arteries secondary to celiac trunk or superior mesenteric artery occlusion. J Vasc Surg. 2020;72(1):46S-55S.
4 Kitaoka T, Deguchi J, Kamiya C, Suzuki J, Sato O. Pancreaticoduodenal artery aneurysm formation with superior mesenteric artery stenosis. Ann Vasc Dis. 2014;7(3):312-5.
5 Fetti AC, Puia VR, Comsa M, Stanca MH, Puia A, Al Hajjar N. Inferior pancreatico-duodenal artery aneurysm with superior mesenteric artery stenosis. J Gastrointestin Liver Dis. 2020;29(1):115-8.
6 Nasser F, Affonso BB, Jesus-Silva SG, et al. Endovascular treatment for superior mesenteric artery pseudoaneurysm: case report. J Vasc Bras. 2010;9(3):182-5.
7 Sutton D, Lawton G. Coeliac stenosis or occlusion with aneurysm of the collateralsupply. Clin Radiol. 1973;24(1):49-53.
8 Kadir S, Athanasoulis CA, Yune HY, Wilkov H. Aneurysms of the pancreaticoduodenal arteries in association with celiac axis occlusion. Cardiovasc Radiol. 1978;1(3):173-7.
9 Kallamadi R, Demoya MA, Kalva SP. Inferior pancreaticoduodenal artery aneurysms in association with celiac stenosis/occlusion. Semin Intervent Radiol. 2009;26(3):215-23.
10 Obara H, Kentaro M, Inoue M, Kitagawa Y. Current management strategies for visceral artery aneurysms: an overview. Surg Today. 2020;50(1):38-49.
11 Bortoluzzi C, Franzon O, Viana R, Mattiello L, Stahelin AHS. Duplo aneurisma de artéria mesentérica superior: relato de caso. J Vasc Bras. 2018;17(4):328-32.
12 Moore E, Matthews MR, Minion DJ, et al. Surgical management of peripancreatic arterial aneurysms. J Vasc Surg. 2004;40(2):247-53.
13 de Perrot M, Berney T, Deleaval J, Buhler L, Mentha G, Morel P. Management of true aneurysms of the pancreaticoduodenal arteries. Ann Surg. 1999;229(3):416-20.
14 Habib N, Hassan S, Abdou R, et al. Gastroduodenal artery aneurysm, diagnosis, clinical presentation and management: a concise review. Ann Surg Innov Res. 2013;7(1):4.
15 Tulsyan N, Kashyap VS, Greenberg RK, et al. The endovascular management of visceral artery aneurysms and pseudoaneurysms. J Vasc Surg. 2007;45(2):276-83.
16 Hemp JH, Sabri SS. Endovascular management of visceral arterial aneurysms. Tech Vasc Interv Radiol. 2015;18(1):14-23.
Submitted date:
06/10/2020
Accepted date:
08/24/2020