Surgical repair of a celiac artery aneurysm using a sutureless proximal anastomosis device Tetsuro Uchida, MD, PhD, Azumi Hamasaki, MD, PhD, Yoshinori.

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Surgical repair of a celiac artery aneurysm using a sutureless proximal anastomosis device Tetsuro Uchida, MD, PhD, Azumi Hamasaki, MD, PhD, Yoshinori Kuroda, MD, Atsushi Yamashita, MD, Jun Hayashi, MD, Mitsuaki Sadahiro, MD, PhD Journal of Vascular Surgery Cases and Innovative Techniques Volume 3, Issue 4, Pages 221-224 (December 2017) DOI: 10.1016/j.jvscit.2017.05.005 Copyright © 2017 The Author(s) Terms and Conditions

Fig 1 a, Computed tomography (CT) scan shows the aneurysm of the celiac artery, approximately 35 mm in size. b, Reconstructed three-dimensional images demonstrate that the aneurysm is located close to the celiac artery origin and extends to the hepatosplenic bifurcation. A, Artery; Ao, aorta. Journal of Vascular Surgery Cases and Innovative Techniques 2017 3, 221-224DOI: (10.1016/j.jvscit.2017.05.005) Copyright © 2017 The Author(s) Terms and Conditions

Fig 2 a, PAS-Port device (Cardica, Redwood City, Calif). b, Schematic drawing of the anastomosis with the PAS-Port system. c, Inside view of the anastomosis. Journal of Vascular Surgery Cases and Innovative Techniques 2017 3, 221-224DOI: (10.1016/j.jvscit.2017.05.005) Copyright © 2017 The Author(s) Terms and Conditions

Fig 3 a, Intraoperative photograph shows vascular reconstruction of the celiac trunk to the hepatosplenic bifurcation with an autologous saphenous vein graft. b, Schematic drawing shows the resection of the celiac artery aneurysm and revascularization of the aorta-common hepatic and splenic arteries. A proximal anastomosis is performed using the PAS-Port system (Cardica, Redwood City, Calif). The origin of the celiac artery is oversewn. c, Reconstructed image of the postoperative computed tomography (CT) scan. A, Artery. Journal of Vascular Surgery Cases and Innovative Techniques 2017 3, 221-224DOI: (10.1016/j.jvscit.2017.05.005) Copyright © 2017 The Author(s) Terms and Conditions