Multiple visceral artery aneurysms managed by Yasargil aneurysm clips. 2015

In-Kee Hong, and Ji-Ho Choi, and Young Chae Chu, and Yong Sun Jeon, and Keon-Young Lee
Department of Surgery, Inha University School of Medicine, Incheon, Korea.

Here, we present the case of a 37-year-old woman with multiple visceral artery aneurysms in the pancreaticoduodenal, inferior pancreatic and splenic arteries associated with celiac trunk stenosis. An aneurysmectomy and end-to-end anastomosis was performed for two adjacent aneurysms, while clipping with intracranial aneurysm clips were performed for the other three aneurysms. During 36-month follow-up, no recurrence or newly developed lesions were noted, and the celiac artery had been reconstituted spontaneously. We believe that using intracranial aneurysm clips in the treatment of visceral artery aneurysms is feasible and safe and can be considered when endovascular procedures are unlikely to be successful.

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