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Celiac Artery - Europe PMC

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Last Updated: 02 October 2022

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Rare variation: the absence of both the celiac trunk artery and the common hepatic artery

Methods A 58-year-old woman was admitted to our hospital for surgical treatment of gastric cancer diagnosed by gastroduoscopy and gastric antrum biopsy. We discovered an absence of both the celiac trunk artery and the common hepatic artery in the contrast-enhanced computed tomography study. Computerized 3D vascular reconstruction revealed unusual vascular anomaly in the absence of both CA and CHA. The splenic artery and gastroduodenal artery derived from the abdominal aorta. The left gastric artery in the AA lies directly above the junction between SA and the GDA. The left hepatic artery in the left gastric artery artery. The right hepatic artery developed from the superior mesenteric artery. Conclusion The finding of abnormal abdominal large blood vessels and their relationship with tumors prior to surgery is of utmost importance in avoiding intraoperative blood vessel damage, major postoperative complications, and the absence of lymph node dissection.

Source link: https://europepmc.org/article/PPR/PPR548016


A 47-Year-Old Man with Advanced Distal Pancreatic Carcinoma and an Initial Partial Response to Chemotherapy Requiring Celiac Axis Reconstruction of the Common Hepatic Artery and Left Gastric Artery.

BACKGROUND is a pharmaceutical surgical treatment for locally advanced pancreatic body cancer; however, arterial reconstruction remains uncertain in this procedure. This paper examines the case of a 47-year-old man with advanced distal pancreatic carcinoma and initial partial response to chemotherapy, which necessitated celiac artery and left gastric artery reconstruction. The intrahepatic arterial blood flow was reduced during clamping of the common hepatic artery during surgery; we reconstructed the middle hepatic artery to the common hepatic artery. To avoid ischemic gastropathy, the left gastric artery was also rebuilt using the second jejunal artery. CONCLUSIONSARTerial reconstruction may be a viable alternative for R0 resection in DP-CAR when hepatic arterial blood flow is reduced thanks to an intraoperative common hepatic clamping test.

Source link: https://europepmc.org/article/MED/36086803


Aorta to proper hepatic artery bypass with total pancreatectomy and celiac axis resection (TP-CAR) in a patient with locally advanced pancreas adenocarcinoma.

After successful neoadjuvant therapy, patients with locally diagnosed pancreatic body cancer and adequate hepatic artery reconstruction can be done safely and be potentially curative in centers with a long track record in advanced pancreatic surgery involving large peripancreatic vessels, according to TP-CAR with common hepatic artery reconstruction and proper hepatic artery reconstruction.

Source link: https://europepmc.org/article/MED/36055170


Prognostic factors for the long term outcome after surgical celiac artery decompression in MALS

MALS surgical treatment aims to restore normal celiac blood flow by laparoscopic celiac artery decompression. MALS symptoms may also match with other common multi-system disorders such as mast cell activation syndrome. We therefore set out to investigate preclinical data in one of the largest MALS cohorts with the intention of finding patients that would benefit from surgical MAL transplantation. Conclusions: We found that 60% of patients who underwent surgical celiac artery decompression had a postoperative relief of their symptoms and a simultaneous decrease of analgetic use, as well as a reduction of analgetic use. MACS signs may be misinterpreted as MALS signs in the presence of celiac artery stenosis, and surgical intervention should be considered carefully. Overall, a multidisciplinary team of gastroenterologists, radiologists, and surgeons could be the most effective in finding patients who are most likely to respond to surgical MAL transplantation.

Source link: https://europepmc.org/article/PPR/PPR529498


Pancreaticoduodenectomy with celiac artery resection (PD-CAR) for locally advanced pancreatic ductal adenocarcinoma Name of the authors

Purpose: The celiac artery, the common hepatic artery, and the gastroduodenal artery are all considered unresectable in locally developed pancreatic duct carcinoma. Methods outlined in this paper We performed curative pancreatectomy for 13 LA-PDACs as a clinical research from 2015 to 2018. PD-CAR was approved by four patients with pancreatic neck cancer involving the CeA and GDA. Blood flow was altered prior to surgery to unify the blood flow to the liver, stomach, and pancreas, resulting in feeding from the cancer-free artery. Although Clavien-Dindo classification III-IV postoperative morbidities occurred in three patients, no reoperations or mortalities occurred, no reoperations or mortalities were reported. Although two patients died of cancer recurrence, one patient lived for 26 months without recurrence, and the other is alive at 76 months without recurrence.

Source link: https://europepmc.org/article/PPR/PPR526621


Endovascular aneurysm repair with mesenteric artery bypass for an abdominal aortic aneurysm with occlusion of celiac and superior mesenteric arteries.

Large amounts of blood flow from capillaries around the abdominal aorta to the inferior mesenteric artery and retrograde blood flow to the meandering mesenteric artery through the superior rectal artery was found in an aortography. We performed endovascular aneurysm repair using mesenteric artery bypass, considering the danger of bowel ischemia.

Source link: https://europepmc.org/article/MED/36016705


Mid-term Results of the Treatment of Isolated Dissection of the Celiac Artery: A Comparative Analysis of Endovascular Versus Conservative Therapy.

Methods of Study The study's results were retrospectively reviewed by a cohort of consecutive IDCA patients enrolled in the study hospital between April 2012 and September 2020. Conclusions EVT for IDCA may be regarded as a cost-effective management strategy with a favorable clinical success rate, an increasing complete reconstruction rate, and a high failure rate for adverse event-free survival. Endovascular intervention for isolated dissection of the celiac artery has received insufficient attention. Patients of isolated dissection of the celiac artery patients, a higher complete remodeling rate, and a higher risk of mortality after events after the follow-up were all present in this retrospective review, indicating that EVT may be an effective management tool for isolated dissection of the celiac artery.

Source link: https://europepmc.org/article/MED/35852451


Portal Hypertension Due to a Traumatic Arteriovenous Fistula in a Patient With a Celiac Artery Aneurysm.

This essay explores the unusual occurrence of a traumatic splenic arteriovenous fistula causing portal hypertension in a patient presenting with abdominal pain, diarrhea, and melena. Portal hypertension was demonstrated by Workup in the form of a dilated splenic vein, with aneurysmal changes and a saccular celiac artery aneurysm. parac and portal circulation interaction was shown by a Celiac angiogram. With ligation of the splenic artery and resection of the celiac artery aneurysm, the patient underwent laparotomy.

Source link: https://europepmc.org/article/MED/35850555

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions