Combined treatment of an aortosplenic bypass followed by coil embolization in the treatment of pancreaticoduodenal artery aneurysms caused by median arcuate ligament compression: a report of two cases

摘要

Images before bypass surgery from Case 1. a, b Three-dimensional computed tomogram showing celiac axis occlusion (white arrow) and a markedly dilated pancreatic arcade with two large fusiform inferior pancreaticoduodenal artery aneurysms (PDAAs) (white arrowheads) a small PDAA (transparent arrowhead). c Angiogram of the superior mesenteric artery showing a markedly dilated pancreatic arcade (black arrows) with two large fusiform inferior PDAAs (white arrows) and retrograde flow of the gastroduodenal artery and common hepatic artery via the pancreatic arcade (white arrowheads) and retrograde flow of splenic artery via the common hepatic artery (black arrowheads). d The schematic diagram of a. e The schematic diagram of b. f The schematic diagram of c