Jornal Vascular Brasileiro
Jornal Vascular Brasileiro
Case Report

Dual endovascular repair (coils and stent) of a true aneurysm of the gastroduodenal artery

Reparo endovascular duplo (molas e stent) de aneurisma verdadeiro da artéria gastroduodenal

Carola Rubio Taboada; Jesús García Alonso; Rubén Peña Cortés; Luis Velasco Pelayo; Paula Velasco Hernández; Francisco Santiago Lozano Sánchez

Downloads: 1
Views: 386


Abstract: We report a case of an asymptomatic gastroduodenal artery aneurysm diagnosed in a 39 year-old woman. An abdominal ultrasound study showed an aneurysmal dilatation of the gastroduodenal artery with 2 x 2 cm diameter. To confirm this finding, she then underwent a computed tomography scan of the abdomen and pelvis that showed a saccular aneurysm of the gastroduodenal artery. A dual endovascular approach was used to exclude the aneurysm by stent-assisted coil embolization. Complete exclusion of the aneurysm sac was confirmed on final angiography. She was discharged from the hospital on postoperative day 1.


endovascular treatment, aneurysm, gastroduodenal artery


Resumo: Relatamos um caso de aneurisma de artéria gastroduodenal assintomático diagnosticado em uma mulher de 39 anos. Uma ultrassonografia abdominal mostrou uma dilatação aneurismática associada à artéria gastroduodenal com 2 x 2 cm de diâmetro. Para confirmar esse achado, foi realizada uma tomografia computadorizada do abdome e da pelve, que revelou um aneurisma sacular da artéria gastroduodenal. Uma abordagem endovascular dupla foi utilizada para exclusão do aneurisma mediante embolização com molas assistida por stent. A exclusão completa do saco aneurismático foi confirmada na angiografia final. A paciente recebeu alta hospitalar no primeiro dia de pós-operatório.


tratamento endovascular, aneurisma, artéria gastroduodenal


1 Chiesa R, Astore D, Guzzo G, et al. Visceral artery aneurysms. Ann Vasc Surg. 2005;19(1):42-8. PMid:15714366.

2 Messina LM, Shanley CJ. Visceral artery aneurysms. Surg Clin North Am. 1997;77(2):425-42. PMid:9146723.

3 Corey MR, Ergul EA, Cambria RP, et al. The presentation and management of aneurysms of the pancreaticoduodenal arcade. J Vasc Surg. 2016;64(6):1734-40. PMid:27871496.

4 Moore E, Matthews MR, Minion DJ, et al. Surgical management of peripancreatic arterial aneurysms. J Vasc Surg. 2004;40(2):247-53. PMid:15297817.

5 Shawky MS, Tan J, French R. Gastroduodenal artery aneurysm: a case report and concise review of literature. Ann Vasc Dis. 2015;8(4):331-3. PMid:26730262.

6 Harris K, Chalhoub M, Koirala A. Gastroduodenal artery aneurysm rupture in hospitalized patients: an overlooked diagnosis. World J Gastrointest Surg. 2010;2(9):291-4. PMid:21160898.

7 Rebeiz K, Shamseddine A, Hachem R, et al. Pancreatic Neuroendocrine Tumor with Aneurysms of the Gastroduodenal Artery: a Case Report. Clin Imaging. 2016;40(2):228-31. PMid:26995576.

8 Matsuno Y, Mori Y, Umeda Y, Imaizumi M, Takiya H. Surgical repair of true gastroduodenal artery aneurysm: a case report. Vasc Endovascular Surg. 2008;42(5):497-9. PMid:19000986.

9 Habib N, Hassan S, Abdou R, et al. Gastroduodenal artery aneurysm, diagnosis, clinical presentation and management: a concise review. Ann Surg Innov Res. 2013;7(1):4. PMid:23587203.

10 Bageacu S, Cuilleron M, Kaczmarek D, Porcheron J. True aneurysms of the pancreaticoduodenal artery: successful non-operative management. Surgery. 2006;139(5):608-16. PMid:16701092.

11 Sessa C, Tinelli G, Porcu P, Aubert A, Thony F, Magne JL. Treatment of visceral artery aneurysms: description of a retrospective series of 42 aneurysms in 34 patients. Ann Vasc Surg. 2004;18(6):695-703. PMid:15599627.

12 Boudghène F, L’Herminé C, Bigot JM. Arterial complications of pancreatitis: diagnostic and therapeutic aspects in 104 cases. J Vasc Interv Radiol. 1993;4(4):551-8. PMid:8353353.

13 Sutton D, Lawton G. Coeliac stenosis or occlusion with aneurysm of the collateral supply. Clin Radiol. 1973;24(1):49-53. PMid:4723494.

14 Lee CH, Lan CC, Wang CC, Chan CY, Wu YK. Spontaneous rupture of gastroduodenal artery pseudoaneurysm following vigorous cough. Am J Gastroenterol. 2009;104(2):529-30. PMid:19190616.

15 Pulli R, Dorigo W, Troisi N, Pratesi G, Innocenti AA, Pratesi C. C.Surgical treatment of visceral artery aneurysms: a 25-year experience. J Vasc Surg. 2008;48(2):334-42. PMid:18644480.

16 Pasha SF, Gloviczki P, Stanson AW, Kamath PS. Splanchnic artery aneurysms. Mayo Clin Proc. 2007;82(4):472-9. PMid:17418076.

17 Lee PC, Rhee RY, Gordon RY, Fung JJ, Webster MW. Management of splenic artery aneurysms: the significance of portal and essential hypertension. J Am Coll Surg. 1999;189(5):483-90. PMid:10549737.

18 Pietrabissa A, Ferrari M, Berchiolli R, et al. Laparoscopic treatment of splenic artery aneurysms. J Vasc Surg. 2009;50(2):275-9. PMid:19631859.

19 Sachdev U, Baril DT, Ellozy SH, et al. Management of aneurysms involving branches of the celiac and superior mesenteric arteries: a comparison of surgical and endovascular therapy. J Vasc Surg. 2006;44(4):718-24. PMid:17011997.

20 Dohan A, Eveno C, Dautry R, et al. Role and effectiveness of percutaneous arterial embolization in hemodynamically unstable patients with ruptured splanchnic artery pseudoaneurysms. Cardiovasc Intervent Radiol. 2015;38(4):862-70. PMid:25338829.

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
5f4956910e8825c67373f44b jvb Articles
Links & Downloads

J Vasc Bras

Share this page
Page Sections