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World Journal of Cardiovascular Surgery, 2013, 3, 106-107 http://dx.doi.org/10.4236/wjcs.2013.33019 Published Online July 2013 (http://www.scirp.org/journal/wjcs) A Large Celiac Artery Aneurysm Harinder Singh Bedi*, Kamal Negi Department of Cardiovascular, Thoracic Surgery Christian Medical College & Hospital, Ludhiana, India Email: *drhsbedicmc@gmail.com, *drhsbedi12@yahoo.com Received May 11, 2013; revised June 12, 2013; accepted June 20, 2013 Copyright © 2013 Harinder Singh Bedi, Kamal Negi. This is an open access article distributed under the Creative Commons Attribu- tion License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT We report preoperative , int rao per ative and postoperative images of a large celiac artery aneurysm. Keywords: Celiac Artery Aneurysm; Graft A 40-year-old lady presented with complaints of an up- per abdominal swelling of recent onset. A multislice CT angiogram (Figure 1) revealed a giant aneurysm of the celiac artery. The aneurysm was 15 × 12.7 cm—the larg- est reported in the literature [1]. The patient underwent successful resection of the aneurysm (Figure 2) and re- vascularization with a ringed synthetic graft from the aorta to the hepatic artery (Figure 3)—the hepatic artery did not have any significant backflow. The splenic artery Figure 1. (cover image): CT angiogram showing the large aneurysm (A) arising from the celiac artery (C), S = supe- rior mesenteric artery. Figure 2. Intraoperative photograph showing the large an- eurysm at laparotomy. A = aneurysm; L = liver. Figure 3. Ringed graft betwee n the ce liac and hepatic ar tery. C = celiac artery end; P = gr aft; H = he patic artery end. *Corresponding a uthor. C opyright © 2013 SciRes. WJCS H. S. BEDI, K. NEGI 107 Figure 4. Post op CT angiogram showing good patency of the graft (arrow). was friable and had a very good backflow and so was ligated. The left gastric artery could not be separately identified. Histopatholgy showed all layers (true aneu- rysm) but did not reveal any specific etiology. A post op CT angiogram showed a good flow in the graft (Figure 4). REFERENCES [1] D. M. McMullan, M. McBride, J. L. Livesay, K. G. Dougherty and Z. Krajcer, “Celiac Artery Aneurysm—A Case Report,” Texas Heart Institute Journal, Vol. 33, No. 2, 2006, pp. 235-240. Copyright © 2013 SciRes. WJCS |