Endovascular Reconstruction of Giant Gastroduodenal Artery Aneurysm With Stent Graft: Case Report

Abstract

Introduction: Gastroduodenal artery (GDA) aneurysms are rare and mainly asymptomatic vascular diseases. Endovascular intervention can provide an alternative method of treatment for GDA aneurysms. Report: We present a case of endovascular repair of giant GDA aneurysm, with stent graft. A 56-year-old man, smoker, presented with nausea, acute worsening of chronic abdominal pain, and a large, tender, pulsating mass in his right upper abdomen with no previous medical history. Computed tomographic (CT) angiography was performed, and there was GDA aneurysm. Through the left brachial approach, we did the endovascular repair of GDA with Viabahn stent graft. Discussion: Endovascular gastroduodenal aneurysm artery reconstruction with stent graft is a reasonable alternative to open surgical repair and it is safety option in carefully selected patients.

Keywords

endovascular reconstruction stent graft gastroduodenal artery aneurysm

References

Shanley CJ , Shah NL , Messina LM Uncommon splanchnic artery aneurysms: pancreaticoduodenal, gastroduodenal, superior mesenteric, inferior mesenteric, and colic. Ann Vasc Surg. 1996;10(5): 506-515.

Chong WW , Tan SG , Htoo MM Endovascular treatment of gastroduodenal artery aneurysm. Asian Cardiovasc Thorac Ann. 2008; 16(1):68-72.

Tulsyan N. , Kashyap SV , Greenberg KR , et al. The endovascular management of visceral artery aneurysms and pseudoaneurysms. J Vasc Surg. 2007;45(2):276-283.

Hossain A. , Reis ED , Dave SP , Kerstein MD , Hollier LH Visceral artery aneurysms: experience in a tertiary-care center. Am Surg. 2001;67(5):432-437.

Huang YK , Hsieh HC , Tsai FC , Chang SH , Lu MS , Ko PJ Visceral artery aneurysm: risk factor analysis and therapeutic opinion. Eur J Vasc Endovasc Surg. 2007;33(3):293-301.