Jejunal Artery Aneurysm Exclusion With Immediate Vascular Reconstruction: A Case Report

Authors

  • Filipa Jácome Angiology and Vascular Surgery, Unidade Local de Saúde de São João; Surgery and Physiology, Faculdade de Medicina da Universidade do Porto, Portugal https://orcid.org/0000-0001-9582-0631
  • José Ramos Angiology and Vascular Surgery, Unidade Local de Saúde de São João, Portugal
  • José Teixeira Angiology and Vascular Surgery, Unidade Local de Saúde de São João, Portugal
  • Humberto Cristino General Surgery, Unidade Local de Saúde de São João, Portugal
  • Marina Dias-Neto Angiology and Vascular Surgery, Unidade Local de Saúde de São João; Surgery and Physiology, Faculdade de Medicina da Universidade do Porto, Portugal

DOI:

https://doi.org/10.48729/pjctvs.466

Keywords:

aneurysm, jejunal artery, visceral artery, open surgery

Abstract

A 44 year-old previously healthy woman presented a persistent epigastric pain. Computed tomography revealed a saccular aneurysm with a diameter of 25x20 mm in the first jejunal artery and also a stenosis in the celiac trunk associated with median arcuate ligament syndrome, turning the hepatic perfusion dependent of the gastroduodenal artery flow. Through a midline laparotomy, celiac axis was exposed, and median arcuate ligament released for median arcuate ligament syndrome treatment. A tangential resection of the aneurysm was done, preserving the flow in the jejunal artery. Arterial closure was achieved through an anastomosis between the jejunal artery and the bevelled pancreatoduodenal artery. One of the duodenal branches was also re-implanted in the jejunal artery. The patient's post-operative course was uneventful. At 1 year after the surgery, patient is asymptomatic and with patency of the reconstructed arteries.

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References

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Published

25-01-2025

How to Cite

1.
Jácome F, Ramos J, Teixeira J, Cristino H, Dias-Neto M. Jejunal Artery Aneurysm Exclusion With Immediate Vascular Reconstruction: A Case Report. Rev Port Cir Cardiotorac Vasc [Internet]. 2025 Jan. 25 [cited 2025 Jan. 29];31(4):45-7. Available from: https://pjctvs.com/index.php/journal/article/view/466

Issue

Vol. 31 No. 4 (2024): Oct-Dec

Section

Clinical Cases

Categories

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Copyright (c) 2024 Portuguese Journal of Cardiac Thoracic and Vascular Surgery

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