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- W1993249264 abstract "The patient, a 76-year-old man, was referred to our vascular unit in October 2002. The case history revealed a thoracic aortic aneurysm (5 cm in diameter) and a cœliac artery aneurysm (3.5 cm in diameter), as diagnosed by a CT scan in 1998. A new CT scan revealed a considerable enlargement of the cœliac artery aneurysm from 3.5 to 7 cm (Fig. 1(a) and (b)). The thoracic aortic aneurysm also showed an enlargement but of lesser magnitude (from 5 to almost 6 cm). The cœliac artery aneurysm was given the highest priority. We decided that open surgery would be the most favourable way to exclude the aneurysm. The patient was operated on through a midline incision. The pulsatile mass was easily identified. Access was gained through the lesser sac with division of the crus of the diaphragm. The suprarenal abdominal aorta was identified together with the cœliac, hepatic and splenic arteries. A vascular clamp was applied to achieve a partial tangential clamping of the aorta. The hepatic and splenic arteries were clamped and the sac of the aneurysm opened. An externally supported 8 mm PTFE-graft was anastomosed end-toend to the cœliac artery and the hepato-splenic junction (Fig. 2) and, finally, the aneurysm sac was wrapped around the vascular graft. The patient’s recovery after the procedure was slow but uneventful, and he was discharged 4 weeks later." @default.
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- W1993249264 date "2004-08-01" @default.
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- W1993249264 title "An Open Approach to the Treatment of Cœliac Artery Aneurysm. A Case Report" @default.
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- W1993249264 doi "https://doi.org/10.1016/j.ejvsextra.2004.06.002" @default.
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