Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.190123
Jornal Vascular Brasileiro
Case Report

Dual endovascular repair (coils and stent) of a true aneurysm of the gastroduodenal artery

Reparo endovascular duplo (molas e stent) de aneurisma verdadeiro da artéria gastroduodenal

Carola Rubio Taboada; Jesús García Alonso; Rubén Peña Cortés; Luis Velasco Pelayo; Paula Velasco Hernández; Francisco Santiago Lozano Sánchez

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Abstract

Abstract: We report a case of an asymptomatic gastroduodenal artery aneurysm diagnosed in a 39 year-old woman. An abdominal ultrasound study showed an aneurysmal dilatation of the gastroduodenal artery with 2 x 2 cm diameter. To confirm this finding, she then underwent a computed tomography scan of the abdomen and pelvis that showed a saccular aneurysm of the gastroduodenal artery. A dual endovascular approach was used to exclude the aneurysm by stent-assisted coil embolization. Complete exclusion of the aneurysm sac was confirmed on final angiography. She was discharged from the hospital on postoperative day 1.

Keywords

endovascular treatment, aneurysm, gastroduodenal artery

Resumo

Resumo: Relatamos um caso de aneurisma de artéria gastroduodenal assintomático diagnosticado em uma mulher de 39 anos. Uma ultrassonografia abdominal mostrou uma dilatação aneurismática associada à artéria gastroduodenal com 2 x 2 cm de diâmetro. Para confirmar esse achado, foi realizada uma tomografia computadorizada do abdome e da pelve, que revelou um aneurisma sacular da artéria gastroduodenal. Uma abordagem endovascular dupla foi utilizada para exclusão do aneurisma mediante embolização com molas assistida por stent. A exclusão completa do saco aneurismático foi confirmada na angiografia final. A paciente recebeu alta hospitalar no primeiro dia de pós-operatório.
 

Palavras-chave

tratamento endovascular, aneurisma, artéria gastroduodenal

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