Research Article
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Year 2018, Volume: 5 Issue: 11, 368 - 373, 30.11.2018
https://doi.org/10.17546/msd.485994

Abstract

References

  • 1. Stanley JC, Wakefield TW, Graham LM, Whitehouse WM, Zelenock GB, Lindenauer S. Clinical importance and management of splanchnic artery aneurysms. Journal of Vascular Surgery. 1986;3:836-840. doi: 10.1016/0741-5214(86)90059-5.
  • 2. Sutton D, Lawton G. Coeliac stenosis or occlusion with aneurysm of the collateral supply. Clinical Radiology. 1973;24:49-53.
  • 3. Suzuki K, Kashimura H, Sato M, Hassan M, Yokota H, Nakahara A, Muto H, Yuzawa K, Fukao K, Tanaka N. Pancreaticoduodenal artery aneurysms associated with coeliac axis stenosis due to compression by median arcuate ligament and coeliac plexus. Journal of Gastroenterology. 1998;33:434-438.
  • 4. Bracale G, Porcellini M, Bernardo B, Selvetella L, Renda A. Inferior pancreaticoduodenal artery aneurysm associated with common hepatic artery occlusion. The Journal of Cardiovascular Surgery. 1996;37:579-581.
  • 5. Moore E, Matthews MR, Minion DJ, Quick R, Schwarcz TH, Loh FK, Endean ED. Surgical management of peripancreatic arterial aneurysms. Journal of Vascular Surgery. 2004;40(2):247–53. doi: 10.1016/j.jvs.2004.03.045
  • 6. Armstrong MB, Stadtlander KS, Grove MK. Pancreaticoduodenal artery aneurysm associated with median arcuate ligament syndrome. Annals of Vascular Surgery. 2014;28(3):741-5. doi: 10.1016/j.avsg.2013.06.030.
  • 7. Zelenock GB, Stanley JC. Splanchnic artery aneurysms. In: Rutherford RB, ed. Vascular Surgery. 5th ed. Philadelphia (PA): WB Saunders; 2000;1369-82.
  • 8. Flood K, Nicholson AA. Inferior pancreaticoduodenal artery aneurysms associated with occlusive lesions of the coeliac axis: diagnosis, treatment options, outcomes and review of the literature. Cardiovascular and Interventional Radiology. 2013;36:578-87. doi: 10.1007/s00270-012-0473-2.
  • 9. Takase A, Akuzawa N, Hatori T, et al. Two patients with ruptured posterior inferior pancreaticoduodenal artery aneurysms associated with compression of the coeliac axis by the median arcuate ligament. Annals of Vascular Diseases. 2014;7:87-92. doi: 10.3400/avd.cr.13-00105.
  • 10. Kobayashi T, Uenoyama S, Isogai S. Successful transcatheter arterial embolization of an inferior pancreaticoduodenal artery aneurysm associated with coeliac axis stenosis. Journal of Gastroenterology and Hepatology. 2004;19:599-601. doi: 10.1111/j.1440-1746.2003.02894.x.
  • 11. Chivot C, Rebibo L, Robert B, Regimbeau JM, Yzet T. Ruptured pancreaticoduodenal artery aneurysms associated with coeliac stenosis caused by the median arcuate ligament: a poorly known etiology of acute abdominal pain. European Journal of Vascular and Endovascular Surgery. 2016;51(2):295–301. doi: 10.1016/j.ejvs.2015.10.025.
  • 12. Pereira L, Andrikopoulos K, Tian J, Lee SY, Keene DR, Reinhardt DP, Sakai LY, Biery NJ, Bunton T, Dietz HC, Ramirez F. Targetting of the gene encoding fibrillin-1 recapitulates the vascular aspect of Marfan syndrome. Nature Genetics. 1997;17(2):218–222. doi: 10.1038/ng1097-218.
  • 13. Coll DP, Ierardi RT, Kerstein MD, Yost S, Wilson A, Matsumoto T. Aneurysms of the pancreaticoduodenal arteries: a change in management. Annals of Vascular Surgery. 1998;22:286–291. doi: http://dx.doi.org/10.1007/s100169900155.
  • 14. Tien YW, Kao HL,Wang HP. Coeliac artery stenting: a new strategy for patients with pancreaticoduodenal artery aneurysm associated with stenosis of the coeliac artery. Journal of Gastroenterology. 2004;39:81-85. doi: 10.1007/s00535-003-1251-3.
  • 15. Sgroi MD, Kabutey NK, Krishnam M, Fujitani RM. Pancreaticoduodenal artery aneurysms secondary to median arcuate ligament syndrome may not need coeliac artery revascularization or ligament release. Annals of Vascular Surgery. 2015;29(1):122.e1–7. doi: 10.1016/j.avsg.2014.05.020
  • 16. Retzlaff JA, Hagedom AB, Bartholomew LG. Abdominal exploration for gastrointestinal bleeding of obscure origin. JAMA. 1961;177:104-7.
  • 17. Egloff L, Rothlin M, Kugelmeier J, Senning A, Turina M. The ascending aortic aneurysm: replacement or repair? The Annals of Thoracic Surgery. 1982;34:117–24. doi: 10.1016/S0003-4975(10)60871-5.
  • 18. Plonek T. A meta-analysis and systematic review of wrapping of the ascending aorta. Journal of Cardiac Surgery. 2014;29:809–15. doi: 10.1111/jocs.12448.
  • 19. Pecoraro F, Shingaki M, Steuer J, Chaykovska L, Rancic Z, Weber A, Nguyen-Kim TD, Bettex D, Veith FJ, Lachat M. Treatment of isolated ascending aortic aneurysm by off-pump epiaortic wrapping is safe and durable. Interactive CardioVascular and Thoracic Surgery. 2016;23(1):286-291. doi: 10.1093/icvts/ivw103.
  • 20. Takao H, Nojo T, Ohtomo K. True pancreaticoduodenal artery aneurysms: A decision analysis. European Journal of Radiology. 2010;75:110–113. doi: 10.1016/j.ejrad.2009.03.041.

Pancreaticoduodenal artery aneurysm: Treatment outcomes of a rare disorder

Year 2018, Volume: 5 Issue: 11, 368 - 373, 30.11.2018
https://doi.org/10.17546/msd.485994

Abstract





Objective:   Pancreaticoduodenal
artery aneurysm is a rare vascular disorder that manifests with a clinical
presentation ranging from asymptomatic cases to hemorrhagic shock due to
aneurysm rupture. In this study, we aimed to evaluate the outcomes of
patients treated with different methods for pancreaticoduodenal artery aneurysm.


Material and Methods:
A total of 5 patients who were treated and followed for pancreaticoduodenal
artery aneurysm between January 2011 and January 2018 were enrolled in the
study. Standard endovascular embolization and surgical resection were performed.
The demographic findings and treatment outcomes were compared.


Results: All
patients were shown to have a pancreaticoduodenal artery aneurysm by
radiological methods. The most common complaint was abdominal pain. The mean
aneurysm size was 2.8 cm. Two patients had coeliac axis stenosis and
occlusion, one had hypertension, one had Marfan syndrome, and one had chronic
pancreatitis as the possible etiological cause. One patient with occlusion of
the coeliac axis had thrombus, one patient with coeliac axis stenosis had
median arcuate ligament compression. Three patients were treated with
embolization, one with surgery, and one with low-molecular weight heparin. 

Conclusion: Different etiological factors and multiple vascular problems accompanying the disorder create difficulties for establishing a treatment algorithm. Due to the rare nature of the disease, studies available in the literature involve limited numbers of patients, as was also the case in our study. There appeared to be no significant differences between the treatment and follow-up duration among the different treatment methods we applied for our patients. 



References

  • 1. Stanley JC, Wakefield TW, Graham LM, Whitehouse WM, Zelenock GB, Lindenauer S. Clinical importance and management of splanchnic artery aneurysms. Journal of Vascular Surgery. 1986;3:836-840. doi: 10.1016/0741-5214(86)90059-5.
  • 2. Sutton D, Lawton G. Coeliac stenosis or occlusion with aneurysm of the collateral supply. Clinical Radiology. 1973;24:49-53.
  • 3. Suzuki K, Kashimura H, Sato M, Hassan M, Yokota H, Nakahara A, Muto H, Yuzawa K, Fukao K, Tanaka N. Pancreaticoduodenal artery aneurysms associated with coeliac axis stenosis due to compression by median arcuate ligament and coeliac plexus. Journal of Gastroenterology. 1998;33:434-438.
  • 4. Bracale G, Porcellini M, Bernardo B, Selvetella L, Renda A. Inferior pancreaticoduodenal artery aneurysm associated with common hepatic artery occlusion. The Journal of Cardiovascular Surgery. 1996;37:579-581.
  • 5. Moore E, Matthews MR, Minion DJ, Quick R, Schwarcz TH, Loh FK, Endean ED. Surgical management of peripancreatic arterial aneurysms. Journal of Vascular Surgery. 2004;40(2):247–53. doi: 10.1016/j.jvs.2004.03.045
  • 6. Armstrong MB, Stadtlander KS, Grove MK. Pancreaticoduodenal artery aneurysm associated with median arcuate ligament syndrome. Annals of Vascular Surgery. 2014;28(3):741-5. doi: 10.1016/j.avsg.2013.06.030.
  • 7. Zelenock GB, Stanley JC. Splanchnic artery aneurysms. In: Rutherford RB, ed. Vascular Surgery. 5th ed. Philadelphia (PA): WB Saunders; 2000;1369-82.
  • 8. Flood K, Nicholson AA. Inferior pancreaticoduodenal artery aneurysms associated with occlusive lesions of the coeliac axis: diagnosis, treatment options, outcomes and review of the literature. Cardiovascular and Interventional Radiology. 2013;36:578-87. doi: 10.1007/s00270-012-0473-2.
  • 9. Takase A, Akuzawa N, Hatori T, et al. Two patients with ruptured posterior inferior pancreaticoduodenal artery aneurysms associated with compression of the coeliac axis by the median arcuate ligament. Annals of Vascular Diseases. 2014;7:87-92. doi: 10.3400/avd.cr.13-00105.
  • 10. Kobayashi T, Uenoyama S, Isogai S. Successful transcatheter arterial embolization of an inferior pancreaticoduodenal artery aneurysm associated with coeliac axis stenosis. Journal of Gastroenterology and Hepatology. 2004;19:599-601. doi: 10.1111/j.1440-1746.2003.02894.x.
  • 11. Chivot C, Rebibo L, Robert B, Regimbeau JM, Yzet T. Ruptured pancreaticoduodenal artery aneurysms associated with coeliac stenosis caused by the median arcuate ligament: a poorly known etiology of acute abdominal pain. European Journal of Vascular and Endovascular Surgery. 2016;51(2):295–301. doi: 10.1016/j.ejvs.2015.10.025.
  • 12. Pereira L, Andrikopoulos K, Tian J, Lee SY, Keene DR, Reinhardt DP, Sakai LY, Biery NJ, Bunton T, Dietz HC, Ramirez F. Targetting of the gene encoding fibrillin-1 recapitulates the vascular aspect of Marfan syndrome. Nature Genetics. 1997;17(2):218–222. doi: 10.1038/ng1097-218.
  • 13. Coll DP, Ierardi RT, Kerstein MD, Yost S, Wilson A, Matsumoto T. Aneurysms of the pancreaticoduodenal arteries: a change in management. Annals of Vascular Surgery. 1998;22:286–291. doi: http://dx.doi.org/10.1007/s100169900155.
  • 14. Tien YW, Kao HL,Wang HP. Coeliac artery stenting: a new strategy for patients with pancreaticoduodenal artery aneurysm associated with stenosis of the coeliac artery. Journal of Gastroenterology. 2004;39:81-85. doi: 10.1007/s00535-003-1251-3.
  • 15. Sgroi MD, Kabutey NK, Krishnam M, Fujitani RM. Pancreaticoduodenal artery aneurysms secondary to median arcuate ligament syndrome may not need coeliac artery revascularization or ligament release. Annals of Vascular Surgery. 2015;29(1):122.e1–7. doi: 10.1016/j.avsg.2014.05.020
  • 16. Retzlaff JA, Hagedom AB, Bartholomew LG. Abdominal exploration for gastrointestinal bleeding of obscure origin. JAMA. 1961;177:104-7.
  • 17. Egloff L, Rothlin M, Kugelmeier J, Senning A, Turina M. The ascending aortic aneurysm: replacement or repair? The Annals of Thoracic Surgery. 1982;34:117–24. doi: 10.1016/S0003-4975(10)60871-5.
  • 18. Plonek T. A meta-analysis and systematic review of wrapping of the ascending aorta. Journal of Cardiac Surgery. 2014;29:809–15. doi: 10.1111/jocs.12448.
  • 19. Pecoraro F, Shingaki M, Steuer J, Chaykovska L, Rancic Z, Weber A, Nguyen-Kim TD, Bettex D, Veith FJ, Lachat M. Treatment of isolated ascending aortic aneurysm by off-pump epiaortic wrapping is safe and durable. Interactive CardioVascular and Thoracic Surgery. 2016;23(1):286-291. doi: 10.1093/icvts/ivw103.
  • 20. Takao H, Nojo T, Ohtomo K. True pancreaticoduodenal artery aneurysms: A decision analysis. European Journal of Radiology. 2010;75:110–113. doi: 10.1016/j.ejrad.2009.03.041.
There are 20 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Hüseyin Onur Aydın 0000-0003-3795-5794

Ebru Hatice Ayvazoğlu Soy This is me 0000-0002-0993-9917

Fatih Boyvat This is me 0000-0002-0076-9034

Sedat Yıldırım This is me 0000-0002-5735-4315

Mehmet Haberal This is me 0000-0002-3462-7632

Publication Date November 30, 2018
Published in Issue Year 2018 Volume: 5 Issue: 11

Cite

APA Aydın, H. O., Ayvazoğlu Soy, E. H., Boyvat, F., Yıldırım, S., et al. (2018). Pancreaticoduodenal artery aneurysm: Treatment outcomes of a rare disorder. Medical Science and Discovery, 5(11), 368-373. https://doi.org/10.17546/msd.485994
AMA Aydın HO, Ayvazoğlu Soy EH, Boyvat F, Yıldırım S, Haberal M. Pancreaticoduodenal artery aneurysm: Treatment outcomes of a rare disorder. Med Sci Discov. November 2018;5(11):368-373. doi:10.17546/msd.485994
Chicago Aydın, Hüseyin Onur, Ebru Hatice Ayvazoğlu Soy, Fatih Boyvat, Sedat Yıldırım, and Mehmet Haberal. “Pancreaticoduodenal Artery Aneurysm: Treatment Outcomes of a Rare Disorder”. Medical Science and Discovery 5, no. 11 (November 2018): 368-73. https://doi.org/10.17546/msd.485994.
EndNote Aydın HO, Ayvazoğlu Soy EH, Boyvat F, Yıldırım S, Haberal M (November 1, 2018) Pancreaticoduodenal artery aneurysm: Treatment outcomes of a rare disorder. Medical Science and Discovery 5 11 368–373.
IEEE H. O. Aydın, E. H. Ayvazoğlu Soy, F. Boyvat, S. Yıldırım, and M. Haberal, “Pancreaticoduodenal artery aneurysm: Treatment outcomes of a rare disorder”, Med Sci Discov, vol. 5, no. 11, pp. 368–373, 2018, doi: 10.17546/msd.485994.
ISNAD Aydın, Hüseyin Onur et al. “Pancreaticoduodenal Artery Aneurysm: Treatment Outcomes of a Rare Disorder”. Medical Science and Discovery 5/11 (November 2018), 368-373. https://doi.org/10.17546/msd.485994.
JAMA Aydın HO, Ayvazoğlu Soy EH, Boyvat F, Yıldırım S, Haberal M. Pancreaticoduodenal artery aneurysm: Treatment outcomes of a rare disorder. Med Sci Discov. 2018;5:368–373.
MLA Aydın, Hüseyin Onur et al. “Pancreaticoduodenal Artery Aneurysm: Treatment Outcomes of a Rare Disorder”. Medical Science and Discovery, vol. 5, no. 11, 2018, pp. 368-73, doi:10.17546/msd.485994.
Vancouver Aydın HO, Ayvazoğlu Soy EH, Boyvat F, Yıldırım S, Haberal M. Pancreaticoduodenal artery aneurysm: Treatment outcomes of a rare disorder. Med Sci Discov. 2018;5(11):368-73.