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Michael R. Corey, MD, Emel A. Ergul, MS, Richard P

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Presentation on theme: "Michael R. Corey, MD, Emel A. Ergul, MS, Richard P"— Presentation transcript:

1 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 (December 2016) DOI: /j.jvs Copyright © 2016 Society for Vascular Surgery Terms and Conditions

2 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  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Median arcuate ligament compression of the celiac axis (arrow) resulting in poststenotic dilation of the vessel. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Selective catheterization of the superior mesenteric artery with coil embolization of two inferior pancreaticoduodenal artery aneurysms (PDAAs). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

5 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  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

6 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  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

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