Gastroduodenal artery aneurysm degeneration after coiling necessitating open repair
A 77-year-old male presented for an incidental 5-cm gastroduodenal artery aneurysm (GDAA). He underwent an endovascular GDAA coil embolization with 6 months of no aneurysmal growth on surveillance imaging. His 12-month scan revealed aneurysmal growth from 5 cm to 7.5 cm involving the hepatic conflue...
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Elsevier
2025-02-01
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Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724002363 |
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author | Madeleine Carroll, MD Deena B. Chihade, MD Thomas J. Vandermeer, MD Anthony Feghali, MD |
author_facet | Madeleine Carroll, MD Deena B. Chihade, MD Thomas J. Vandermeer, MD Anthony Feghali, MD |
author_sort | Madeleine Carroll, MD |
collection | DOAJ |
description | A 77-year-old male presented for an incidental 5-cm gastroduodenal artery aneurysm (GDAA). He underwent an endovascular GDAA coil embolization with 6 months of no aneurysmal growth on surveillance imaging. His 12-month scan revealed aneurysmal growth from 5 cm to 7.5 cm involving the hepatic confluence. He underwent successful open aneurysm resection and primary anastomosis of the hepatic artery. Although less invasive interventions are recommended for GDAAs, many vascular surgeons prefer to proceed with an open repair. Continued GDAA enlargement after perceived endovascular success demonstrates the importance of long-term surveillance and viability of open intervention, sparing patients from a potentially fatal rupture. |
format | Article |
id | doaj-art-c9a5101d49624d43b564548587ac7d7b |
institution | Kabale University |
issn | 2468-4287 |
language | English |
publishDate | 2025-02-01 |
publisher | Elsevier |
record_format | Article |
series | Journal of Vascular Surgery Cases and Innovative Techniques |
spelling | doaj-art-c9a5101d49624d43b564548587ac7d7b2025-01-20T04:17:40ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-02-01111101652Gastroduodenal artery aneurysm degeneration after coiling necessitating open repairMadeleine Carroll, MD0Deena B. Chihade, MD1Thomas J. Vandermeer, MD2Anthony Feghali, MD3Department of Surgery, SUNY Upstate Medical University, Syracuse, NYDepartment of Surgery, SUNY Upstate Medical University, Syracuse, NYDepartment of Surgery, SUNY Upstate Medical University, Syracuse, NYCorrespondance: Anthony Feghali, MD, Upstate Vascular Surgery Clinic, Room 4835, 750 E Adams St, Syracuse, NY 13210; Department of Surgery, SUNY Upstate Medical University, Syracuse, NYA 77-year-old male presented for an incidental 5-cm gastroduodenal artery aneurysm (GDAA). He underwent an endovascular GDAA coil embolization with 6 months of no aneurysmal growth on surveillance imaging. His 12-month scan revealed aneurysmal growth from 5 cm to 7.5 cm involving the hepatic confluence. He underwent successful open aneurysm resection and primary anastomosis of the hepatic artery. Although less invasive interventions are recommended for GDAAs, many vascular surgeons prefer to proceed with an open repair. Continued GDAA enlargement after perceived endovascular success demonstrates the importance of long-term surveillance and viability of open intervention, sparing patients from a potentially fatal rupture.http://www.sciencedirect.com/science/article/pii/S2468428724002363Coil embolizationGastroduodenal arterySurveillance imagingVisceral aneurysms |
spellingShingle | Madeleine Carroll, MD Deena B. Chihade, MD Thomas J. Vandermeer, MD Anthony Feghali, MD Gastroduodenal artery aneurysm degeneration after coiling necessitating open repair Journal of Vascular Surgery Cases and Innovative Techniques Coil embolization Gastroduodenal artery Surveillance imaging Visceral aneurysms |
title | Gastroduodenal artery aneurysm degeneration after coiling necessitating open repair |
title_full | Gastroduodenal artery aneurysm degeneration after coiling necessitating open repair |
title_fullStr | Gastroduodenal artery aneurysm degeneration after coiling necessitating open repair |
title_full_unstemmed | Gastroduodenal artery aneurysm degeneration after coiling necessitating open repair |
title_short | Gastroduodenal artery aneurysm degeneration after coiling necessitating open repair |
title_sort | gastroduodenal artery aneurysm degeneration after coiling necessitating open repair |
topic | Coil embolization Gastroduodenal artery Surveillance imaging Visceral aneurysms |
url | http://www.sciencedirect.com/science/article/pii/S2468428724002363 |
work_keys_str_mv | AT madeleinecarrollmd gastroduodenalarteryaneurysmdegenerationaftercoilingnecessitatingopenrepair AT deenabchihademd gastroduodenalarteryaneurysmdegenerationaftercoilingnecessitatingopenrepair AT thomasjvandermeermd gastroduodenalarteryaneurysmdegenerationaftercoilingnecessitatingopenrepair AT anthonyfeghalimd gastroduodenalarteryaneurysmdegenerationaftercoilingnecessitatingopenrepair |