Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.190019
Jornal Vascular Brasileiro
Case Report

Aneurisma de artéria gastroduodenal submetido a tratamento endovascular: relato de caso

Endovascular treatment of gastroduodenal artery aneurysm: case report

André Luís Foroni Casas; Mariozinho Pacheco de Freitas Camargo; Carla Batista Moisés; Henrique Simão Trad; Edwaldo Edner Joviliano

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Resumo

Resumo: O aneurisma de artéria gastroduodenal é uma doença de baixa incidência que se manifesta de forma inespecífica na maioria das vezes, o que dificulta o diagnóstico inicial. Nos casos sintomáticos, pode ocorrer dor abdominal, além de hemorragia secundária à sua rotura. Nos casos de rotura aneurismática, o prognóstico é desfavorável, atingindo 40% de mortalidade. Assim, devem-se empregar os recursos necessários para o diagnóstico e intervenção terapêutica precoce. Embora o tratamento cirúrgico aberto seja uma opção, nos últimos anos, tem havido uma maior tendência ao tratamento endovascular. Relata-se um caso raro de paciente jovem portador de aneurisma de artéria gastroduodenal tratado com sucesso por meio da terapia endovascular.

Palavras-chave

aneurisma, procedimentos endovasculares, procedimentos cirúrgicos vasculares

Abstract

Abstract: Gastroduodenal artery aneurysm is a disease with low incidence that manifests in a nonspecific form in the majority of cases, which hinders initial diagnosis. Symptomatic cases may present with abdominal pains or hemorrhage secondary to rupture. In cases in which the aneurysm ruptures, prognosis is poor and mortality can reach 40%. Steps should therefore be taken to ensure early diagnosis and treatment. Although open surgical treatment is an option, over recent years there has been a growing trend to use endovascular techniques. This report describes a rare case of a young patient with a gastroduodenal artery who was successfully treated with endovascular techniques.
 

Keywords

aneurysm, endovascular procedures, vascular surgical procedures

References

Zuhaili B, Molnar RG, Malhotra NG. The endovascular management of a 3.5-cm gastroduodenal artery aneurysm presenting with gastritis and recurrent pancreatitis. Avicenna J Med. 2017;7(3):130-2. PMid:28791247.

Lu M, Weiss C, Fishman EK, Johnson PT, Verde F. Review of visceral aneurysms and pseudoaneurysms. J Comput Assist Tomogr. 2015;39(1):1-6. http://dx.doi.org/10.1097/RCT.0000000000000156. PMid:25319606.

Habib N, Hassan S, Abdou R, et al. Gastroduodenal artery aneurysm, diagnosis, clinical presentation and management: a concise review. Ann Surg Innov Res. 2013;7(1):4. http://dx.doi.org/10.1186/1750-1164-7-4. PMid:23587203.

Shawky MS, Tan J, French R. Gastroduodenal artery aneurysm: a case report and concise review of literature. Ann Vasc Dis. 2015;8(4):331-3. http://dx.doi.org/10.3400/avd.cr.15-00086. PMid:26730262.

Babu A, Rattan A, Singhal M, Gupta A, Kumar S. Gastroduodenal artery aneurysm – A rare complication of traumatic pancreatic injury. Chin J Traumatol. 2016;19(6):368-70. http://dx.doi.org/10.1016/j.cjtee.2016.02.003. PMid:28088944.

Navarro-Noguera E, Alberca-de-las-Parras F, Egea-Valenzuela J, et al. Gastroduodenal artery aneurysm presenting as a pancreatic mass. Rev Esp Enferm Dig. 2015;107(6):374. PMid:26031866.

Dorigo W, Pulli R, Azas L, et al. Early and intermediate results of elective endovascular treatment of true visceral artery aneurysms. Ann Vasc Surg. 2016;30:211-8. http://dx.doi.org/10.1016/j.avsg.2015.06.097. PMid:26381325.

Arazińska A, Polguj M, Wojciechowski A, Trębiński Ł, Stefańczyk L. Median arcuate ligament syndrome: predictor of ischemic complications? Clin Anat. 2016;29(8):1025-30. http://dx.doi.org/10.1002/ca.22773. PMid:27560288.

Zaafouri H, Hasnaoui A, Essghaeir S, et al. Ascending Cholangitis secondary to migrated embolization coil of gastroduodenal artery pseudo-aneurysm a case report. BMC Surg. 2017;17(1):30. http://dx.doi.org/10.1186/s12893-017-0227-9. PMid:28330448.

Boll JM, Sharp KW, Garrard CL, Naslund TC, Curci JA, Valentine RJ. Does management of true aneurysms of peripancreatic arteries require repair of associated celiac artery stenosis? J Am Coll Surg. 2017;224(2):199-203. http://dx.doi.org/10.1016/j.jamcollsurg.2016.10.030. PMid:27773774.
 

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