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Aneurysm of the pancreaticoduodenal arteries with a celiac trunk lesion: current management  E Ducasse, MD, PhD, F Roy, MD, J Chevalier, MD, D Massouille,

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Presentation on theme: "Aneurysm of the pancreaticoduodenal arteries with a celiac trunk lesion: current management  E Ducasse, MD, PhD, F Roy, MD, J Chevalier, MD, D Massouille,"— Presentation transcript:

1 Aneurysm of the pancreaticoduodenal arteries with a celiac trunk lesion: current management 
E Ducasse, MD, PhD, F Roy, MD, J Chevalier, MD, D Massouille, MD, M Smith, MD, F Speziale, MD, P Fiorani, MD, P Puppinck, MD  Journal of Vascular Surgery  Volume 39, Issue 4, Pages (April 2004) DOI: /j.jvs

2 Fig 1 CT scan shows a large retroperitoneal hematoma and a median arcuate ligament division that compressed the origin of the celiac trunk. Journal of Vascular Surgery  , DOI: ( /j.jvs )

3 Fig 2 Global profile arteriogram shows stenosis of the celiac trunk and a particularly dense collateral arterial network connecting the superior mesenteric artery to the celiac trunk. Journal of Vascular Surgery  , DOI: ( /j.jvs )

4 Fig 3 Selective catheterization of the posterior arcade shows an arterial malformation (arrow) with leakage of contrast material. Journal of Vascular Surgery  , DOI: ( /j.jvs )

5 Fig 4 Complete thrombosis of the malformation (coil 1, accumulation of two coils) and the posterior pancreaticoduodenal artery after embolization of the proximal part (coil 2) and preservation of the gastroduodenal artery. Journal of Vascular Surgery  , DOI: ( /j.jvs )

6 Fig 5 Postprocedural arteriogram after section of the median arcuate ligament confirms regression of the celiac axis stenosis initially observed (see Fig 2) and of the collateral network initially connecting the superior mesenteric artery and the celiac trunk. Journal of Vascular Surgery  , DOI: ( /j.jvs )

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