Aneurysm and stenosis of the celiomesenteric trunk: A rare anomaly

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Presentation transcript:

Aneurysm and stenosis of the celiomesenteric trunk: A rare anomaly Manju Kalra, MBBSa, Jean M. Panneton, MDa, Jan M. Hofer, RN, BSNa, James C. Andrews, MDb Journal of Vascular Surgery Volume 37, Issue 3, Pages 679-682 (March 2003) DOI: 10.1067/mva.2003.37 Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 A, Lateral aortogram shows common CMT with 60% stenosis. Pressure gradient of 18 mm Hg was found across lesion at rest. B, Operative repair performed with MAL release followed by polyester patch angioplasty. Journal of Vascular Surgery 2003 37, 679-682DOI: (10.1067/mva.2003.37) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 A, Visceral arteriogram shows common CMT with 2-cm saccular aneurysm arising adjacent to origin of SMA. B, Operative repair performed with aneurysmectomy and reimplantation of celiac trunk onto SMA. Journal of Vascular Surgery 2003 37, 679-682DOI: (10.1067/mva.2003.37) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 Embryologic development of CA and SMA. Week 4 to 9 of intrauterine life. A, Multiple ventral longitudinal anastomoses form between segmental arteries. B, Caudal migration of splanchnic vessels by recruitment of caudal roots and loss of cephalad roots. C, Four roots remain to supply foregut and midgut. D, Interruption of longitudinal anastomosis between roots 3 and 4 to separate origins of CA and SMA with resultant adult configuration. E, Failure of dissolution of anastomosis between roots 3 and 4 results in formation of common CMT. a, yolk sac; b, umbilical artery; c, ventral segmental arteries; d, celiac axis; e, SMA; f, inferior mesenteric artery; g, common CMT. Journal of Vascular Surgery 2003 37, 679-682DOI: (10.1067/mva.2003.37) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions