The presentation and management of aneurysms of the pancreaticoduodenal arcade Michael R. Corey, MD, Emel A. Ergul, MS, Richard P. Cambria, MD, Virendra I. Patel, MD, MPH, R. Todd Lancaster, MD, MPH, Christopher J. Kwolek, MD, Mark F. Conrad, MD, MMSc Journal of Vascular Surgery Volume 64, Issue 6, Pages 1734-1740 (December 2016) DOI: 10.1016/j.jvs.2016.05.067 Copyright © 2016 Society for Vascular Surgery Terms and Conditions
Fig 1 Computed tomography three-dimensional reconstruction demonstrates a large pancreaticoduodenal artery aneurysm (PDAA) in the presence of a severe celiac axis stenosis. The left arrow points to the PDAA. The right arrow points to the level of the occluded celiac axis. Journal of Vascular Surgery 2016 64, 1734-1740DOI: (10.1016/j.jvs.2016.05.067) Copyright © 2016 Society for Vascular Surgery Terms and Conditions
Fig 2 Median arcuate ligament compression of the celiac axis (arrow) resulting in poststenotic dilation of the vessel. Journal of Vascular Surgery 2016 64, 1734-1740DOI: (10.1016/j.jvs.2016.05.067) Copyright © 2016 Society for Vascular Surgery Terms and Conditions
Fig 3 Selective catheterization of the superior mesenteric artery with coil embolization of two inferior pancreaticoduodenal artery aneurysms (PDAAs). Journal of Vascular Surgery 2016 64, 1734-1740DOI: (10.1016/j.jvs.2016.05.067) Copyright © 2016 Society for Vascular Surgery Terms and Conditions
Fig 4 Kaplan-Meier estimate of survival at 5 years for patients who underwent repair of an aneurysm of the pancreaticoduodenal arcade. Journal of Vascular Surgery 2016 64, 1734-1740DOI: (10.1016/j.jvs.2016.05.067) Copyright © 2016 Society for Vascular Surgery Terms and Conditions
Fig 5 Aneurysms of the pancreaticoduodenal arcade develop in the presence of a celiac axis obstruction. A, Normal arterial hemodynamics through the celiac axis. B, Reversal of flow in the presence of a high-grade celiac axis obstruction. C, Aneurysm formation. Journal of Vascular Surgery 2016 64, 1734-1740DOI: (10.1016/j.jvs.2016.05.067) Copyright © 2016 Society for Vascular Surgery Terms and Conditions