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We present an example of a 68-year-old male who had recurrent severe bouts of postprandial abdominal pain accompanied by intermittent nausea, vomiting, and elevated blood pressure in a 68-year-old male. Following the exclusion of other potential pathologies, the patient was referred to the surgical team for further monitoring for median arcuate ligament release on an elective basis.
Source link: https://europepmc.org/article/MED/PMC9833008
Background research has shown an increase in morbidity and mortality with celiac artery coverage during thoracic endovascular aortic repair for aneurysmal disease. Patients were refused if their endograft was deployed distal to aortic zone 6 or if they had any preoperative/operative celiac revascularization procedure. Results There were 8,265 patients who underwent TEVAR over the 8-year study period, with 142 of them having celiac artery coverage during their index examination. In 1. 2% of patients with dissection, 1. 3% with aneurysm, and 0. 7% with trauma, the celiac artery was covered during TEVAR in 1. 2% of patients with TEVAR, 1. 3% with aneurysm, and 0. 7 percent with trauma. On univariate analysis, there were no differences in outcomes for patients with celiac insurance versus those without celiac coverage during TEVAR for dissection or injuries. On multivariate analysis, there were no differences in patient outcomes for those treated with celiac coverage versus those without celiac coverage during TEVAR for dissection or injury. The Kaplan-Meier curves reveal a significant decline in overall survival based on pathology, specifically lower survival rates for patients with celiac coverage treated for aneurysmal disease. According to a Cox regression report, celiac artery coverage for aneurysmal disease was highly increased, contributing to a high risk of overall survival, but there was no influence on patients with TEVAR coverage for dissection or trauma. Conclusions The Celiac artery coverage for patients with aneurysmal disease was linked to a rise in postoperative morbidity, mortality, and lowers overall survival.
Source link: https://europepmc.org/article/MED/36529296
Background Median arcuate ligament syndrome is a common differential diagnosis in patients with post-prandial abdominal pains, but diagnosis is not straightforward. Amongst a group of patients with celiac artery compression, the aim of this research was to determine characteristics of patients with MALS compared to non-MALS patients. The study's objective An IRB approved retrospective chart review of patients at our hospital with a CAC discharge diagnosis. MALS patients were not significantly different in sex or ethnicity, according to MALS and non-MALS patients, but MALS patients were younger. Conclusions We present a new study that MALS patients tend to have less atherosclerotic characteristics than non-MALS patients with CAC. Patients in our MALS analysis were more likely to be younger, female, and experiencing epigastric pain. MALS patients with CAC may have an important clinically significant characteristic of MALS patients may be their lack of atherosclerotic phenotype in comparison to non-MALS patients with CAC.
Source link: https://europepmc.org/article/MED/36476640
Methods A 58-year-old woman was admitted to our department for surgical care of gastric cancer, based on gastroduodenoscopy and gastric antrum biopsy. We discovered an absence of both the celiac trunk artery and the common hepatic artery in both the contrast-enhanced computed tomography study. Computerized 3D vascular reconstruction reported unusual vascular anomaly in this area: the absence of both CA and CHA. The abdominal aorta and gastroduodenal artery both developed from the abdominal artery and gastroduodenal artery. The left gastric artery in the AA parallels the junction of SA and the GDA. The left hepatic artery in the left gastric artery originated from the left artery. The right hepatic artery derives from the superior mesenteric artery. Conclusion The correct identification of abnormal abdominal large blood vessels and their relationship with tumors before surgery is of utmost importance to prevent intraoperative blood vessel damage, severe postoperative complications, and the absence of lymph node dissection are among the many aspects of lymph node dissection.
Source link: https://europepmc.org/article/MED/36476541
Introduction The celiac axis, or the root of the splenic artery, are both involved in locally advanced pancreatic cancer. Since transection of the GDA does not guarantee hepatic perfusion, it is not normally applied to LAPC involving both the CA and the gastroduodenal artery. The case was presented by a 78-year-old woman who was diagnosed with LAPC of the pancreatic head and body that invaded the GDA and properly hepatic artery, as well as the CA. The left gastric artery branched from the left gastric artery, which branched from proximal to the SpA's confluence. Discussion This is the first English literature case of extended DP-CAR with the preservation of the original LHA's refurbished LHA.
Source link: https://europepmc.org/article/MED/36493709
Methods: A 58-year-old woman was admitted to our hospital for surgical treatment of gastric cancer, confirming by gastroduodenoscopy and gastric antrum biopsy. We found an absence of both the celiac trunk artery and the common hepatic artery in this contrast-enhanced computed tomography study. : Computerized 3D vascular reconstruction revealed unusual vascular anomaly — the absence of both CA and CHA indicates unusual vascular anomaly. The splenic artery and gastroduodenal artery derived from the abdominal aorta. The left gastric artery developed from the AA's immediate above the SA and GDA junction. The left hepatic artery emerged from the left gastric artery, according to the artery. Conclusion: Proper identification of abnormal abdominal large blood vessels and their association with tumors before surgery is of utmost importance in preventing intraoperative blood vessel damage, major postoperative complications, and the absence of lymph node dissection.
Source link: https://europepmc.org/article/PPR/PPR575526
Background Ischemic necrosis of the abdominal organs caused by compression of the celiac artery and superior mesenteric artery by the median arcuate ligament after correction surgery has been described as acute celiac artery compression syndrome. We sought to determine the presence and extent of CA and SMA stenosis in spinal patients preoperatively, as well as the risk factors associated with the stenosis. Patients with stenosis gradu 22653 percent were classified as being in the group with stenosis, with the remainder remaining as in the group without. There were 8 patients in the CA stenosis group and two patients in the group with SMA stenosis. The number of patients with CA stenosis was significantly higher than those with MAL overlap or CA calcification - much higher than the number of patients with CA stenosis.
Source link: https://europepmc.org/article/MED/36371339
It is intended to determine the incidence of the collateral variations, as well as the frequency of these variations in patients with CA and SMA stenosis from angiography images. Methods 285 patients who were admitted to Akdeniz University Hospital with signs of persistent mesenteric ischemia were examined by a total of 408 nonselective or selective CA and SMA angiographic photographs. In 14 patients, the SMA stenosis was present in 12 patients, while the SMA's stenosis was seen in 12 patients. Conclusions While in patients with isolated CA or SMA stenosis or occlusion, mesenteric circulation was mainly provided by the Riolan arc, it was found that mesenteric circulation was mainly provided by gastroduodenal in patients with isolated CA or SMA stenosis or occlusion, it was noted that mesenteric circulation was mainly provided by gastroduodenal, where in patients with isolated CA or SMA stenocclusion of both CA and SMA patients with o or SMA o osisosiso oso osisosocclusion.
Source link: https://europepmc.org/article/PPR/PPR568264
Based on the experiences of a single center, we aimed to publish more detail on the symptomatic SICAD's management and success. Methods In this analysis, a total of 121 patients with symptomatic SICAD were retrospectively included from January 2018 to December 2021. Two patients were deemed eligible for a secondary intervention during their follow-up trial in the conservative company, wherein one underwent stent placement three months after suspension of symptoms and dissection, and the other required intervention one month after discharge due to symptomatic progression. The length of dissection and complete remodeling rate in the endovascular group was longer than in the conservative group. Conclusion Patients with symptomatic SICAD who were selectively treated with conservative or endovascular therapy had positive early and medium-term outcomes.
Source link: https://europepmc.org/article/MED/36338634
Background Transcatheter arterial embolization has been widely used as a treatment for bleeding from the pancreaticodoudenal artery in patients with celiac artery stenosis. Purpose: Objective: To announce the technological details and success rate of TAE for bleeding from the PDA in patients with CA stenosis. In eight cases and CA dissection in one case, the cause of CA stenosis was compression by the median arcuate ligament. Both the CA and superior mesenteric artery were cannulated with two parent catheters, a microcatheter advancing to embolization and another catheter for angiography progressing from the SMA to map the vascular anatomy. TAE is a safe and painless way to hemorrhage in patients with CA stenosis. One for CA cannulation and microcatheter advancement, and another for SMA cannulation and vascular mapping may be a useful technique.
Source link: https://europepmc.org/article/MED/36313861
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