• The right gastroepiploic artery is a branch of the gastroduodenal artery, which is a branch of the common hepatic artery, which is a branch of the celiac trunk. (wikipedia.org)
  • Shearing of the dissection flap in the juxtarenal segment was performed using a "cheese wire" technique, whereby both ends of the guidewire were pulled caudally in a sawing motion down through the infrarenal neck and into the aneurysm sac. (stanfordhealthcare.org)
  • Postoperative imaging confirmed aneurysm exclusion, no endoleak, and patent bilateral common iliac arteries with resolution of claudication symptoms and normal ankle-brachial indices.Endovascular management of false lumen aneurysms in the setting of chronic dissection is limited by the ability of stent grafts to obtain adequate proximal or distal fixation. (stanfordhealthcare.org)
  • Tension developing at the suture line of the side-to-side coronary anastomosis and/or blood accumulation within the space around the graft conveyed significant risk of coronary artery dehiscence, pseudo-aneurysm formation and reoperation 1, 2 . (jsurgery.com)
  • Fibromuscular dysplasia (FMD) is a noninflammatory, nonatherosclerotic arterial disease of the medium-sized arteries throughout the body, which could lead to arterial stenosis, occlusion, aneurysm, and dissection. (medscape.com)
  • More severe symptoms such as transient ischemic attack (TIA) , stroke , ruptured aneurysm , or a carotid or vertebral artery dissection can develop in patients with cerebrovascular FMD. (medscape.com)
  • This led only to a partial exclusion of the aneurysm and was complicated by a dissection of the hepatic artery, reflecting its friability. (biomedcentral.com)
  • Since the right renal artery is located on the bottom of the aneurysm, the reconstruction was performed after initiating a left heart bypass (LHB). (authorea.com)
  • A CT scan provides valuable information about your aorta, such as the location and size of an aneurysm or dissection. (bcm.edu)
  • A celiac artery aneurysm is a dilatation of the celiac artery. (angiologist.com)
  • Contrast-enhanced computed tomography (CT) showed a thrombosed type A acute aortic dissection, and an ulcer-like projection was observed at the proximal descending aorta (Fig. 1 a). (biomedcentral.com)
  • Takayasu arteritis (TAK) is a granulomatous vasculitis of unknown etiology that commonly affects the thoracic aorta and its branches, the pulmonary arteries, and the coronary arteries. (medscape.com)
  • A number of important vascular structures are contained in Zone I. They include the celiac trunk, the superior mesenteric artery, the inferior mesenteric artery, the renal pedicle vessels, the aorta, and the vena cava. (medicosecuador.com)
  • Aortic dissection is a life-threatening emergency with high mortality, caused by an intimal and medial tear in the aorta, with formation of a false lumen within the aortic media. (hindawi.com)
  • it is of varying size and is wedged between the superior mesenteric vessels (vein on the right, artery on the left) in front and the aorta behind it. (medscape.com)
  • Abdominal aortic branch occlusion is blockage or narrowing of one of the large arteries in the abdomen that come off of the aorta. (msdmanuals.com)
  • The aorta is the largest artery of the body. (msdmanuals.com)
  • Blockage of the arteries that branch off of the aorta may develop suddenly or slowly. (msdmanuals.com)
  • Sudden blockage of the lower aorta where it divides into the common iliac arteries causes both legs to suddenly become painful, pale, and cold. (msdmanuals.com)
  • Right and left main pulmonary artery embolism (A). Celiac artery thrombosis extending into the aortic lumen (B). Superior mesenteric artery thrombosis hanging to aorta (C). Saddle embolism at aortic bifurcation (D) and the thrombus extending into the bilateral common iliac arteries (E). Left external iliac artery thrombosis (F). Arrows indicated the lesions. (vsijournal.org)
  • The aorta, the body's main artery, plays a crucial role in transporting oxygenated blood from the heart to the rest of the body. (homed.gr)
  • The aorta, the body's main artery, carries oxygenated blood from the heart and distributes it throughout the body through its many smaller branches. (homed.gr)
  • A sudden lower aorta blockage at the common iliac arteries usually causes immediate, painful, pale, and cold legs. (homed.gr)
  • Gradual narrowing of the lower aorta or common iliac arteries typically leads to cramping and walking pain (intermittent claudication) in the buttocks and thighs. (homed.gr)
  • Surgical treatment of aneurysms and dissections involving the aortic arch and the descending aorta carries a significant morbidity and mortality risk. (biomedcentral.com)
  • Patients with acute aortic disease as well as patients with chronic disease, such as atherosclerotic aneurysms involving the aortic arch and the descending aorta with or without aortic dissection were analyzed. (biomedcentral.com)
  • The thoracoabdominal aorta starts after the curve of the cane and extends past the arteries that deliver blood to the stomach, intestines and kidneys. (bcm.edu)
  • Patients that experience sudden symptoms such as chest or back pain, characterized as a tearing sensation, nausea, vomiting, a fast heartbeat and possibly the feeling of impending doom, may be experiencing a tear or dissection of the aorta. (bcm.edu)
  • In the arterial phase, the hepatic and splenic arteries were well defined, but the collateral pathways of the celiac and superior mesenteric arteries were unclear (Fig. 1 d). (biomedcentral.com)
  • In August of 2009 I went through a celiac bypass and bovine patch to my hepatic artery for treatment of MALS. (mayoclinic.org)
  • Methods Circulating (n = 179) and hepatic expression (n = 95) of ghrelin and LEAP-2 were measured in patients with severe obesity and available liver pathology analysis undergoing Roux-en-Y gastric bypass (RYGB). (unav.edu)
  • Pseudoaneurysms of the hepatic artery are a rare complication in patients with primary or secondary liver tumors treated with intra-arterial chemotherapy. (biomedcentral.com)
  • This approach is based on the rationale that local therapy through the hepatic artery increases the exposure of the liver tumors to cytotoxic agents, leading to higher response rates while limiting systemic side effects like myelosuppression, mucositis and diarrhea. (biomedcentral.com)
  • However, the application of floxuridine-deoxy-ribose (FUDR), a prodrug of 5-fluorouracil (5-FU) with a high liver extraction fraction, into the hepatic artery can cause several complications. (biomedcentral.com)
  • A rare complication of HAC is the formation of pseudoaneurysms of the hepatic artery. (biomedcentral.com)
  • In this article we describe two patients who developed aneurysmatic cavities of the hepatic artery after regional chemotherapy with FUDR and presented with hemorrhage. (biomedcentral.com)
  • Computed tomography revealed a large retroperitoneal hematoma and a ruptured pseudoaneurysm of the hepatic artery at the site of the catheter tip. (biomedcentral.com)
  • In a subsequent angiography via a transfemoral access a stent-graft was placed into the hepatic artery in order to preserve arterial hepatic perfusion. (biomedcentral.com)
  • The celiac angiogram shows a pseudoaneurysm (arrow) of the proper hepatic artery located next to the origin of the gastroduodenal artery, which is occluded by the chemotherapy infusion catheter (arrowheads) . (biomedcentral.com)
  • The right hepatic artery is missing after hemihepatectomy. (biomedcentral.com)
  • In the completion celiac angiogram the common hepatic artery is occluded by the microcoils (arrows) . (biomedcentral.com)
  • Hepatic artery variations occur in about one-fourth of the population, are frequent questions on standardized surgery exams, and are often discussed on teaching rounds with an attending surgeon. (hindawi.com)
  • Considering that one-fourth of the patients could have an anomalous hepatic artery and that laparoscopic cholecystectomy is one of the most frequent general surgery operations in the United States, failure to recognize the presence of an anomalous artery could have devastating consequences. (hindawi.com)
  • Intraoperatively, the common hepatic artery was found to originate from the superior mesenteric artery. (unina.it)
  • Conclusion Variations in hepatic and celiac arterial anatomy are common, and may not get picked up on preoperative imaging. (unina.it)
  • Surgical anatomy of the hepatic arteries in 1000 cases. (unina.it)
  • Disposal of replaced common hepatic artery coursing within the pancreas during pancreatoduodenectomy: report of a case. (unina.it)
  • Celiac Axis and Common Hepatic Artery Variations in 5002 Patients: Systematic Analysis with Spiral CT and DSA. (unina.it)
  • Suzuki T, Nakayasu A, Kawabe K, Takeda H, Honjo I. Surgical significance of anatomic variations of the hepatic artery. (unina.it)
  • Woods MS, Traverso LW, Sparing a replaced common hepatic artery during pancreaticoduodenectomy. (unina.it)
  • Embolization of the replaced common hepatic artery before surgery for pancreatic head cancer: report of a case. (unina.it)
  • Spectral Doppler ultrasonographic waveform of the right hepatic artery in a 60-year-old man, 8 years after orthotopic liver transplantation. (medscape.com)
  • A-1: Magnetic resonance angiogram in a transplantation patient with hepatic artery thrombosis. (medscape.com)
  • Magnetic resonance angiogram of the recipient celiac axis depicts complete occlusion of the hepatic artery. (medscape.com)
  • C-1: Gortex hepatic artery graft thrombosis in a 59-year-old man (shown by arrow). (medscape.com)
  • A sudden, complete renal artery blockage, supplying the kidneys, can cause side pain and blood in the urine, needing urgent care. (homed.gr)
  • Gradual and moderate renal artery narrowing often shows no symptoms. (homed.gr)
  • 8) A bifurcated graft of the neo-graft was anastomosed to the common iliac arteries first, followed by reattachments of the left renal artery, superior mesenteric artery and celiac axis without aortic cross-clamp. (authorea.com)
  • While there is a significant risk associated with visceral malperfusion, ischemia due to occlusion of the celiac artery alone is rare due to the presence of extensive collateral pathways in the mesenteric circulation. (biomedcentral.com)
  • However, vasculitis , aortic or mesenteric artery dissection, fibromuscular dysplasia , celiac artery compression by the median arcuate ligament, retroperitoneal fibrosis , or endovascular graft occlusion should be considered as alternative etiologies. (logicalimages.com)
  • Alternatively, an embolism, where a clot travels to the artery from another location, can also lead to acute occlusion. (homed.gr)
  • Fibromuscular Dysplasia Fibromuscular dysplasia is abnormal thickening of the walls of arteries that is not related to atherosclerosis or inflammation but that causes artery narrowing or blockage. (msdmanuals.com)
  • Fibromuscular dysplasia (FMD) is an arterial disease of unknown etiology typically affecting the medium and large arteries of young to middle-aged women. (medscape.com)
  • Diagram representing the 3 major characteristic angiographic patterns seen in fibromuscular dysplasia of the internal carotid artery. (medscape.com)
  • Sudeck's critical point at the rectosigmoid junction is described as the point of origin of the last sigmoid arterial branch, originating from the inferior mesenteric artery (IMA) [4]. (researchsquare.com)
  • Chronic mesenteric ischemia, also known as intestinal angina, is defined by reduced blood flow to major mesenteric arteries (celiac, superior mesenteric, inferior mesenteric) causing abdominal pain which is often postprandial. (logicalimages.com)
  • There were no abnormal findings in the neck vessels, superior mesenteric artery, or bilateral renal arteries. (biomedcentral.com)
  • This allows the surgeon to identify the celiac trunk and the superior mesenteric artery. (medicosecuador.com)
  • The same risk factors for peripheral and coronary artery disease predispose to chronic mesenteric ischemia, namely smoking, hypertension, diabetes, and hyperlipidemia. (logicalimages.com)
  • The disease typically affects the renal and extracranial carotid arteries, but it has also been noted in most medium-sized arteries throughout the body, most commonly the mesenteric, external iliac, and brachial arteries. (medscape.com)
  • We report a 63-year-old female who developed acute mesenteric ischemia due to celiac trunk and superior mesenteric artery thrombi together with acute lower extremity ischemia caused by saddle embolism of the iliac bifurcation and thrombosis of the left external iliac artery. (vsijournal.org)
  • Gradual constriction of the superior mesenteric artery causes intense navel-centered pain about 30 to 60 minutes after eating. (homed.gr)
  • During the operation, an aberrant middle colic artery was found to be originating from the gastroduodenal artery instead of its usual origin at the superior mesenteric artery. (hindawi.com)
  • CT Angiography for delineation of celiac and superior mesenteric artery variants in patients undergoing hepatobiliary and pancreatic surgery. (unina.it)
  • Twenty-five first-year medical students were asked to localize three anatomical structures-gall bladder, celiac trunk, and superior mesenteric artery-in either 2D or 3D environments. (bodyviz.com)
  • The celiac artery and superior mesenteric artery (SMA) can often be imaged from the transgastric window. (emedicalacademy.com)
  • The septic shock was possibly due to the bacterial translocation caused by aortic dissection-induced intestinal ischemia and intestinal epithelial barrier dysfunction. (hindawi.com)
  • During these reattachments, antegrade pulsatile blood flow to the spinal cord was guaranteed not only via the Adamkiewicz artery but also the collateral network, which ultimately minimizes spinal cord ischemia. (authorea.com)
  • Problems encountered with these techniques include bleeding from the proximal conduit implant site and reattached coronary artery origins, suture line disruption, coronary artery distortion and late development of pseudoaneurysms 6-14 . (jsurgery.com)
  • Advanced extrarenal complications of diabetes (coronary artery disease). (mhmedical.com)
  • We present two patients who developed this complication after placement of a catheter system into the gastroduodenal artery and initiation of regional chemotherapy with floxuridine. (biomedcentral.com)
  • Surgical or percutaneous placement of a subcutaneous device allows chemotherapy to be delivered continuously into the gastroduodenal artery via a catheter. (biomedcentral.com)
  • We report a case of a patient found to have an anomalous middle colic artery arising from the gastroduodenal artery during a pancreaticoduodenectomy. (hindawi.com)
  • The intraoperative discovery of the middle colic artery originating from the gastroduodenal artery is a unique finding. (hindawi.com)
  • We report a case of a middle colic artery originating from the gastroduodenal artery found during a pancreaticoduodenectomy for a pancreatic cystic mucinous neoplasm. (hindawi.com)
  • At exploratory laparotomy, the gastroduodenal artery was identified and dissected out. (hindawi.com)
  • Malperfusion of the celiac artery alone, with acute aortic dissection, rarely requires early intervention. (biomedcentral.com)
  • A 57-year-old woman had thrombosed type A acute aortic dissection with celiac malperfusion, for which total arch replacement was performed after percutaneous balloon angioplasty of the celiac artery. (biomedcentral.com)
  • In this report, we describe a rare case of type A acute aortic dissection in which reperfusion of the celiac artery was performed before central repair. (biomedcentral.com)
  • Therefore, aggressive surgical/hybrid treatment is necessary in cases of type A acute aortic dissection with visceral malperfusion. (biomedcentral.com)
  • Acute aortic dissection is a life-threatening clinical emergency, which mostly occurs in aged patients and presents with sharp chest pain. (hindawi.com)
  • In this paper, we reported a case of acute aortic dissection, which induced septic shock in a young woman, without typical chest pain. (hindawi.com)
  • In this paper, we reported a rare case of a young female with acute aortic dissection presenting as septic shock. (hindawi.com)
  • Unfortunately, because of the young age and absence of typical symptoms, the diagnosis of acute aortic dissection was initially missed, leading to a delayed treatment and deteriorating multiorgan injury. (hindawi.com)
  • Only among the EVAR patients, aortic related death occurred in 1 patient(5.6%), which was acute type A aortic dissection. (or.jp)
  • Postoperative increase in true lumen diameter mirrors decrease of false lumen diameter, goes along with favorable midterm outcome and prolongs freedom from secondary interventions in acute aortic dissection. (biomedcentral.com)
  • Its use in the emergency setting of acute aortic dissection (AAD) is still a matter of ongoing debate [ 5 , 6 ]. (biomedcentral.com)
  • Meanwhile it was shown however, that the FET technique enhances stabilization of the true lumen (TL) regardless if applied in acute or chronic dissection. (biomedcentral.com)
  • Pathologies included acute aortic dissection type A (AADA, Debakey I) and B (AADB) presenting with (multiple) intimal tears in the aortic arch and/or requiring debranching of the arch vessels to ensure adequate perfusion (group 1). (biomedcentral.com)
  • As a board-certified vascular surgeon, he specializes in the treatment of aortic disease including aneurysms and dissection, venous occlusive disease, carotid artery disease, and peripheral arterial disease including critical limb ischemia and claudication through the use of endovascular and open surgical techniques. (medstarhealth.org)
  • If the patient continues to be hemodynamically unstable, an arteriogram with selective embolization of the bleeding vessel coming from the internal iliac artery should be performed. (medicosecuador.com)
  • the splenic artery and vein pass between its two layers. (wikipedia.org)
  • An abdominal midline incision was made, intestines were retracted upward, the aortic artery and IVC were isolated bluntly, then the intestines were retracted rightwards and stomach was lifted, the left gastric artery was ligated and dissected, the splenic artery and vein were ligated at the spleen hilum. (gastrores.org)
  • Both are branches of the celiac trunk. (wikipedia.org)
  • He underwent a pylorus preserving pancreaticoduodenectomy with a meticulous dissection and preservation of the aberrant hepatomesenteric trunk. (unina.it)
  • Occlusive Peripheral Arterial Disease Occlusive peripheral arterial disease is blockage or narrowing of an artery in the legs (or rarely the arms), usually due to atherosclerosis and resulting in decreased blood flow. (msdmanuals.com)
  • [ 2 ] Disease manifestations depend on the arterial bed involved: most often, the extracranial carotid or vertebral arteries are associated with headache (generally migraine-type), pulsatile tinnitus , neck pain, or dizziness, whereas the renal arteries are often associated with hypertension. (medscape.com)
  • Computed tomography angiography (CTA) results (shown in Figure 1 ) confirmed our tentative diagnosis: thoracic and abdominal aortic dissection, thinning of bilateral renal arteries and right internal and external iliac arteries, and abnormal infusion of liver, spleen, and kidneys. (hindawi.com)
  • The arteries that supply my kidneys are affected causing high blood pressure . (mayoclinic.org)
  • Computed tomographic angiography demonstrated a complex dissection with 7.1-cm false lumen aneurysmal dilatation and significant true lumen compression within bilateral iliac aneurysms and no suitable proximal infrarenal neck free of dissection.Using intravascular ultrasound, guidewires were introduced into true and false lumens. (stanfordhealthcare.org)
  • Note the multiple saccular dilatations of the internal carotid artery between the first and second cervical vertebrae. (medscape.com)
  • Cardiopulmonary bypass was established with the right common carotid artery and internal jugular vein and the infected conduit was replaced with larger-sized one under electrically-induced ventricular fibrillation. (or.jp)
  • CTA may display the pathognomonic string of beads appearance of the internal carotid artery. (medscape.com)
  • Atherosclerosis Atherosclerosis is a condition in which patchy deposits of fatty material (atheromas or atherosclerotic plaques) develop in the walls of medium-sized and large arteries, leading to reduced or. (msdmanuals.com)
  • To describe successful endovascular repair of a complex chronic aortoiliac dissection facilitated by a unique endovascular fenestration technique at the proximal neck.A 57-year-old man presented with disabling lower extremity claudication and a remote history of medically treated type B aortic dissection. (stanfordhealthcare.org)
  • or compression of the artery by a growing abdominal tumor. (msdmanuals.com)
  • The treatment approach may include the elimination of a blood clot, angioplasty (a procedure to widen narrowed or obstructed arteries or veins), or in certain cases, surgical creation of a bypass using grafts. (homed.gr)
  • Herein, we described a young female aortic dissection patient who firstly presented with symptoms of septic shock without typical chest pain, which led to delayed diagnosis and treatment of aortic dissection. (hindawi.com)
  • Next, the thoracic intercostal arteries were reimplanted using the island technique followed by proximal anastomosis of the main graft at the aortic isthmus. (authorea.com)
  • Note the narrowing of the origin of the right subclavian artery and a narrowed small vessel with subsequent aneurysmal dilatation on the right side. (medscape.com)
  • Background Laparoscopic TSME preserving left colic artery and superior rectal artery is still a technical challenging procedure. (researchsquare.com)
  • In the group of TSME, left colonic artery and superior rectal artery were preserved while they were not in TME group. (researchsquare.com)
  • Conclusions Laparoscopic TSME preserving left colic artery and superior rectal artery can be safely conducted for upper rectal cancer. (researchsquare.com)
  • The anastomosis between the last sigmoidal artery and superior rectal artery(SRA) are absent in few people. (researchsquare.com)
  • Laparoscopic TSME preserving left colic artery and superior rectal artery using this technique was performed on 46 patients with upper rectal cancer from Apr 2010 to Apr 2017. (researchsquare.com)
  • I saw a cardiologist for my frequent PVC's and he heard bruits in my carotid, epigastric, renal and femoral arteries. (mayoclinic.org)
  • Further meticulous dissection of the aforementioned vessel was now performed, and it was traced into the mesentery of the transverse colon, taking the usual course of the middle colic artery. (hindawi.com)
  • A-5: Digital subtraction angiogram obtained during balloon angioplasty of a stenotic artery. (medscape.com)
  • Visceral malperfusion associated with aortic dissection (AD) is a serious and sometimes life-threatening complication. (biomedcentral.com)
  • Dr. Abramowitz is an advocate for the improvement of postoperative recovery for patients receiving radial artery catheterization procedures. (medstarhealth.org)
  • Most aortic dissections occur. (msdmanuals.com)
  • Patient group 2 suffered from chronic degenerative diseases, such as chronic aortic dissections of both types A and B (CADA/B), as well as thoracic aortic aneurysms. (biomedcentral.com)
  • Pain may be in the abdomen, back, or legs, depending on which artery is blocked. (msdmanuals.com)
  • A sudden arterial blockage stops blood flow instantly, causing severe pain in the abdomen, back, or legs, depending on the blocked artery. (homed.gr)
  • The arteries supplying my carotid arteries are also affected causing neck pain, headaches, dizziness and a loud swooshing sound in my ears. (mayoclinic.org)
  • Cheese wire fenestration of a chronic juxtarenal dissection flap to facilitate proximal neck fixation during EVAR. (stanfordhealthcare.org)
  • However, the artery was noted to be very large and continued to traverse across the neck of the pancreas anteriorly down to the root of the mesentery. (hindawi.com)