A 72-year-old woman with end-stage renal disease was admitted with right upper quadrant pain, hypotension, an elevated bilirubin, and leukocytosis. A computed tomography scan showed a dilated common bile duct and an associated 4.5 cm gastroduodenal artery pseudoaneurysm. The pseudoaneurysm was coil embolized successfully while maintaining dual access from the brachial and femoral arteries using the “body floss” technique. Subsequently, the patient underwent endoscopic treatment for her obstructive jaundice. We report on the technical aspects of this case and review the literature.
ParfittJChalmersRTWolfeJH. Visceral aneurysms in Ehlers-Danlos syndrome: case report and review of the literature. J Vasc Surg. 2000;31(6):1248–1251.
4.
SaltzbergSSMaldonadoTSLamparelloPJ. Is endovascular therapy the preferred treatment for all visceral artery aneurysms?Ann Vasc Surg. 2005;19(4):507–515.
5.
MessinaLMShanleyCJ. Visceral artery aneurysms. Surg Clin North Am. 1997;77(2):425–442.
WellingTHWilliamsDMStanleyJC. Excessive oral amphetamine use as a possible cause of renal and splanchnic arterial aneurysms: a report of two cases. J Vasc Surg. 1998;28(4):727–731.
8.
FodorMFodorLCiuceC. Gastroduodenal artery pseudoaneurysm ruptured in the common bile duct. Acta Chir Belg. 2010;110(1):103–105.
9.
HortonKMSmithCFishmanEK. MDCT and 3D CT angiography of splanchnic artery aneurysms. AJR Am J Roentgenol. 2007;189(3):641–647.
PulliRDorigoWTroisiNPratesiGInnocentiAAPratesiC. Surgical treatment of visceral artery aneurysms: a 25-year experience. J Vasc Surg. 2008;48(2):334–342.
12.
Van PetersenAMeerwaldtRGeelkerkenRZeebregtsC. Surgical options for the management of visceral artery aneurysms. J Cardiovasc Surg (Torino). 2011;52(3):333–343.
13.
CochennecFRigaCVAllaireE. Contemporary management of splanchnic and renal artery aneurysms: results of endovascular compared with open surgery from two European vascular centers. Eur J Vasc Endovasc Surg. 2011;42(3):340–346.
14.
ShlomovitzEJaskolkaJDTanKT. Use of a flow-diverting uncovered stent for the treatment of a superior mesenteric artery aneurysm. J Vasc Interv Radiol. 2011;22(7):1052–1055.
15.
RossiMRebonatoAGrecoLCitoneMDavidV. Endovascular exclusion of visceral artery aneurysms with stent-grafts: technique and long-term follow-up. Cardiovasc Intervent Radiol. 2008;31(1):36–42.
