Author(s)

Daisuke Fukui^*, Yuko Wada, Yoshinori Ohtsu, Kazunori Komatsu, Noburo Ohashi, Ko Nakahara, Toshihito Gomibuchi, Tatsuichiro Seto, Kenji Okada

Division of Cardiovascular Surgery, Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.

In this report, we describe two surgical cases of celiac artery aneurysm due to chronic and asymptomatic spontaneous dissection without atherosclerotic change or medial degeneration. Case 1 had replacement of the celiac and common hepatic arteries using a knitted Dacron prosthetic graft, and case 2 had simple aneurysmectomy. The incidence of celiac artery dissection is increasing lately, but subsequent aneurysm is relatively rare. Our two cases had no atherosclerotic risk factors, so it might be possible that celiac artery aneurysm due to spontaneous dissection may produce different findings from dissection of other arteries. We consider that the need for surgery should be determined carefully if the asymptomatic celiac artery aneurysm due to dissection is small and unless it shows any changes in its diameter in the follow-up period.

Celiac Artery Aneurysm, Spontaneous Dissection, Surgical Repair

Fukui, D. , Wada, Y. , Ohtsu, Y. , Komatsu, K. , Ohashi, N. , Nakahara, K. , Gomibuchi, T. , Seto, T. and Okada, K. (2015) Celiac Artery Aneurysm Due to Chronic Spontaneous Dissection: Two Cases of Surgical Repair. World Journal of Cardiovascular Diseases, 5, 27-31. doi: 10.4236/wjcd.2015.52004.