The first case of celiac artery obstruction due to selective arteriography is reported. Impairment of flow to liver and duodenum was present; but the patient recovered uneventfully with non-operative treatment. Management of this problem centers around careful observation, liver support, and putting the gut at rest. If non-operative treatment is failing, operation should be done, vascular reconstruction carried out, and the duodenum inspected to ensure its viability.
Get full access to this article
View all access options for this article.
References
1.
Michels, N.A. : Collateral arterial pathways to the liver after ligation of the hepatic artery and removal of the celiac axix. Cancer6: 708-724, 1953.
2.
Hansbrough, E.T., and Lipin, R.J.: Hepatic artery aneurysm with excision of celiac axis. Ann. Surg.149: 273-277, 1959.
3.
Sutton, D., and Lawton, G.: Coeliac stenosis or occlusion with aneurysm of the collateral supply . Clin. Radio.24: 49-53, 1973.
4.
Reuter, S.R. , Olin, T.: Stenosis of the celiac artery . Radiology85: 617-627, 1965.
5.
Deterling, R.A. : Aneurysm of the visceral arteries. J Cardiovas. Surg.12: 309-322, 1971.
6.
Rob, C.G., Owen K.: Ligation of both the coeliac axis and the superior mesenteric artery with survival of the patient. Brit. J. Surg.44: 247-249, 1956.
7.
Hansbrough, E.T., Lipin, R.J.: Hepatic artery aneurysm with excision of celiac axis. Ann. surg.149: 273-277, 1959.
8.
Rob, C.G., Owen, K.: Ligation of both the coeliac axis and the superior mesenteric artery with survival of the patient. Brit. J. Surg.44: 247-249, 1956.
9.
Miller, D.W. , Royster, T.S.: Celiac artery aneurysm: rationale for celiac axis ligation with excisional treatment. Vasc. Surg.5: 42-47, 1971.
10.
Appleby, L.H. : The coeliac axis in the expansion of the operation for gastric carcinoma. Cancer6: 704-707, 1953.
Markowitz, J., Rappaport, A., Scott , A.C.: Prevention of liver necrosis following ligation of hepatic artery. Proc. Soc. Exp. Bio. &Med.70: 305, 1949.
17.
Hershey, F.B. , Colman, C.H.: Atlas of Vascular Surgery, p. 2843rd Edition. C. V. Mosby Company, St. Louis, 1973.