Abstract
An: 2019, Nr.1, Articol Nr. 10
Title:
ENDOVASCULAR APPROACH FOR A GASTRODUODENAL ARTERY ANEURYSM – CASE PRESENTATION
Authors:
C. Paius - “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, PhD Student; Moinesti Emergency Hospital, Moinesti
M. Enache, Gr. Tinica - “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Discipline of Cardiac Surgery; “Prof. Dr. George I.M. Georgescu” Cardiovascular Diseases Institute, Iasi
A. Tarus - “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, PhD Student; “Prof. Dr. George I.M. Georgescu” Cardiovascular Diseases Institute, Iasi
B. Tremblay - GHEF Meaux, France
ENDOVASCULAR APPROACH FOR A GASTRODUODENAL ARTERY ANEURYSM (Abstract): Gastroduodenal artery aneurysms (GDA) are a rare vascular disease, representing roughly 4% out of the total visceral artery aneurysms. The main complication is rupture and such an undesirable but common event nonetheless, carries a high mortality rate (up to 70%). The authors present the case of a 68 years old male patient incidentally diagnosed with a vascular mass at a routine abdominal ultrasound examination. A computed tomography angiography (CTA) was indicated and diagnosed an aneurysm of the gastroduodenal artery measuring 19.5 mm in diameter. Taking into consideration the high risk of rupture and the high mortality rate associated with this complication, an endovascular repair with a covered stent was attempted with good permeability and no visible endoleak at follow-up CTA. The current case proves that an endovascular approach should be considered first in case of visceral artery aneurysms because of the numerous advantages over the direct approach, although preparing the patient for open surgery is necessary just in case of an endovascular repair failure.
Key words: GASTRODUODENAL ARTERY, ANEURYSM, ENDOVASCULAR TREATMENT
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