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1. Suzuki K, Tachi Y, Ito S, Maruyama K, Mori Y, Komada T, et al. Endovascular management
of ruptured pancreaticoduodenal artery aneurysms associated with celiac axis stenosis.
Cardiovasc Intervent Radiol. 2008;31:1082–7.
2. Shibata E, Takao H, Amemiya S, Ohtomo K. Perioperative hemodynamic monitoring of
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3. Salomon du Mont L, Lorandon F, Behr J, Leclerc B, Ducroux E, Rinckenbach S. Ruptured
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revascularization of the celiac trunk. Ann Vasc Surg. 2017;43:310.e13–310.e16.
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4. Tien YW, Kao HL, Wang HP. Celiac artery stenting: A new strategy for patients with
pancreaticoduodenal artery aneurysm associated with stenosis of the celiac artery. J
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5. Cademartiri F, Raaijmakers RH, Kuiper JW, van Dijk LC, Pattynama PM, Krstin GP. Multidetector row CT angiography in patients with abdominal angina. Radiographics. 2004;24:969–84.
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6. Senadhi V. A rare cause of chronic mesenteric ischemia from fibromuscular dysplasia: A case
report. J Med Case Rep. 2010;4:373.
7. Chaudhary SC, Gupta A, Himanshu D, Verma SP, Khanna R, Gupta DK. Abdominal angina:
An unusual presentation of Takayasu’s arteritis. BMJ Case Rep. 2011;2011:bcr0220113900.
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8. Matsuda M, Miyazaki D, Tojo K, Tazawa K, Shimojima Y, Kurozumi M,et al. Intestinal
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2010;49:2175–8.
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9. Biolato M, Gabrieli ML, Parente A, Racco S, Costantini M, Bonomo L, et al. Abdominal
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angina due to recurrence of cancer of the papilla of Vater: A case report. J Med Case Rep.
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10. White CJ. Chronic mesenteric ischemia: diagnosis and management. Prog Cardiovasc Dis.
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11. Jaster A, Choudhery S, Ahn R, Sutphin P, Kalva S, Anderson M, et al. Anatomic and
radiologic review of chronic mesenteric ischemia and its treatment. Clin Imaging. 2016;40:961–
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12. Sundermeyer A, Zapenko A, Moysidis T, Luther B, Kröger K. Endovascular treatment of
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chronic mesenteric ischaemia. Interv Med Appl Sci. 2014;6:118–24.
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13. Barret M, Martineau C, Rahmi G, Pellerin O, Sapoval M, Alsac JM, et al. Chronic
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16. Chatani S, Inoue A, Ohta S, Takaki K, Sato S, Iwai T, et al. Transcatheter Arterial
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17. Xia T, Zhou JY, Mou YP, Xu XW, Zhou YC, Huang CJ, et al. Laparoscopic ligation of
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1518. Mano Y, Takehara Y, Sakaguchi T, Alley MT, Isoda H, Shimizu T, et al. Hemodynamic
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1619. Toriumi T, Shirasu T, Akai A, Ohashi Y, Furuya T, Nomura Y. Hemodynamic benefits of
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celiac artery release for ruptured right gastric artery aneurysm associated with median arcuate
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1720. Hasegawa T, Seiji K, Ota H, Matsuura T, Satani N, Sato T, et al. Rapid development of
new aneurysms in the adjacent pancreatic arcade arteries after urgent embolization of
pancreaticoduodenal artery aneurysms in cases with celiac stenosis. J Vasc Interv Radiol.
2018;29:1306–1308.e2.
Figures
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Fig. 1 Contrast-enhanced computed tomography before endovascular treatment
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A: Sagittal image of contrast-enhanced computed tomography at the arterial phase showing a
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complete occlusion at the orifice of the superior mesenteric artery (arrow). B: Volume rendering
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depicting aneurysms of 9.6 mm and 5.4 mm in diameter in the right hepatic artery (black arrow)
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and anterior superior pancreaticoduodenal artery (white arrow), respectively.
Fig. 2 Angiogram via the celiac artery
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A: Angiogram showing complete occlusion of the superior mesenteric artery (black arrow)
associated with retrograde blood flow through the prominent pancreaticoduodenal arcade.
Aneurysms are seen in the right hepatic and anterior superior pancreaticoduodenal art ery (white
arrows). The orifice of the replaced right hepatic artery originated from the superior mesenteric
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artery (arrowhead). B: The white arrows in the schema shows the blood flow from the celiac
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artery to the proper hepatic artery anterogradely, and the superior mesenteric artery through the
gastroduodenal artery retrogradely.
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Fig. 3 Follow-up contrast-enhanced computed tomography at five years after endovascular
treatment
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A: Sagittal image of contrast-enhanced computed tomography at the arterial phase showing
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patency of the superior mesenteric artery (arrow). B: Volume rendering image demonstrating the
shrunken aneurysms of 3.5 mm in the hepatic artery (black arrow) and of 2.8 mm in the superior
anterior pancreaticoduodenal arteries (white arrow).
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Fig. 4 The time course of the aneurysmal diameter
RHA; Right hepatic artery, ASPA; superior anterior pancreaticoduodenal artery
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Fig. 1 Contrast-enhanced computed tomography before endovascular treatment
A: Sagittal image of contrast-enhanced computed tomography at the arterial phase showing a complete
occlusion at the orifice of the superior mesenteric artery (arrow). B: Volume rendering depicting aneurysms
of 9.6 mm and 5.4 mm in diameter in the right hepatic artery (black arrow) and anterior superior
pancreaticoduodenal artery (white arrow), respectively.
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235x114mm (300 x 300 DPI)
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Fig. 2 Angiogram via the celiac artery
A: Angiogram showing complete occlusion of the superior mesenteric artery (black arrow) associated with
retrograde blood flow through the prominent pancreaticoduodenal arcade. Aneurysms are seen in the right
hepatic and anterior superior pancreaticoduodenal art ery (white arrows). The orifice of the replaced right
hepatic artery originated from the superior mesenteric artery (arrowhead). B: The white arrows in the
schema shows the blood flow from the celiac artery to the proper hepatic artery anterogradely, and the
superior mesenteric artery through the gastroduodenal artery retrogradely.
iew
254x190mm (300 x 300 DPI)
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Fig. 3 Follow-up contrast-enhanced computed tomography at five years after endovascular treatment
A: Sagittal image of contrast-enhanced computed tomography at the arterial phase showing patency of the
superior mesenteric artery (arrow). B: Volume rendering image demonstrating the shrunken aneurysms of
3.5 mm in the hepatic artery (black arrow) and of 2.8 mm in the superior anterior pancreaticoduodenal
arteries (white arrow).
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227x114mm (300 x 300 DPI)
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Fig. 4 The time course of the aneurysmal diameter
RHA; Right hepatic artery, ASPA; superior anterior pancreaticoduodenal artery
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211x152mm (300 x 300 DPI)
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