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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Main Authors: Madeleine Carroll, MD, Deena B. Chihade, MD, Thomas J. Vandermeer, MD, Anthony Feghali, MD
Format: Article
Language:English
Published: Elsevier 2025-02-01
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.
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issn 2468-4287
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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
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AT thomasjvandermeermd gastroduodenalarteryaneurysmdegenerationaftercoilingnecessitatingopenrepair
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