Lefeng Qu, MD, PhD, Zaiping Jing, MD, PhD, Rui Feng, MD, PhD

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Presentation transcript:

Endoaortic stent grafting of a giant infected hepatic-celiac pseudoaneurysm Lefeng Qu, MD, PhD, Zaiping Jing, MD, PhD, Rui Feng, MD, PhD Journal of Vascular Surgery Volume 42, Issue 1, Pages 159-162 (July 2005) DOI: 10.1016/j.jvs.2005.03.057 Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 1 A contrast-enhanced computed tomographic aortogram showed a 10.3 × 8.5 × 8.1-cm size mass (arrow) in the right upper abdomen that originated from the common hepatic artery and the celiac artery. Journal of Vascular Surgery 2005 42, 159-162DOI: (10.1016/j.jvs.2005.03.057) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 2 Double catheter simultaneous digital subtraction angiography revealed that the entrance of the aneurysm opened directly from the abdominal aorta (top arrow), the distance between the orifice of superior mesenteric artery and celiac axis was only 0.5 cm (bottom arrow), and the diameter of the celiac trunk had been aneurysmally enlarged to 2.0 cm (top arrow). Journal of Vascular Surgery 2005 42, 159-162DOI: (10.1016/j.jvs.2005.03.057) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 3 A completion angiogram revealed that the hepatic-celiac pseudoaneurysm was completely excluded from aortic flow by the endoluminal stent-graft, while the superior mesenteric artery (top arrow) and the bilateral renal arteries (bottom arrows) remained perfectly patent. Journal of Vascular Surgery 2005 42, 159-162DOI: (10.1016/j.jvs.2005.03.057) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 4 A computed tomographic aortogram on postoperative day 25 revealed that the aneurysm was full of thrombi (arrow) and no evidence of endoleak. Journal of Vascular Surgery 2005 42, 159-162DOI: (10.1016/j.jvs.2005.03.057) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 5 A 5-year follow up computed tomographic aortogram showed disappearance of the giant pseudoaneurysm and no evidence of endoleak. Journal of Vascular Surgery 2005 42, 159-162DOI: (10.1016/j.jvs.2005.03.057) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions