Revascularization of the Celiac and Superior Mesenteric Arteries After Operative Injury Using Both Splenic Artery and Saphenous Graft

Samir Abu-Gazala; Avraham Schlager; Ram Elazary; Andrei Keidar; Liat Appelbaum; Avraham I. Rivkind; Abed Khalaileh; Mahmoud Abu-Gazala; Hadar Merhav

doi:10.1016/j.avsg.2009.10.016

Revascularization of the Celiac and Superior Mesenteric Arteries After Operative Injury Using Both Splenic Artery and Saphenous Graft

Samir Abu-Gazala, Avraham Schlager, Ram Elazary, Andrei Keidar, Liat Appelbaum, Avraham I. Rivkind, Abed Khalaileh, Mahmoud Abu-Gazala, Hadar Merhav

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

We report a case of iatrogenic resection of both the superior mesenteric artery (SMA) and celiac artery during left nephrectomy and adrenalectomy. A 47-year-old woman was diagnosed with a large adrenal tumor and underwent a laparoscopic left adrenalectomy that was converted to open adrenalectomy and nephrectomy as a result of a bulky tumor. Both the SMA and celiac artery were inadvertently cut at their origin because of adherence of the tumor to the aorta. Both arteries were revascularized by anastomosing the distal splenic artery to the aorta after performing splenectomy to revascularize the celiac circulation and using an autologous saphenous vein graft to revascularize the SMA. The patient had no postoperative complications. To our knowledge, this is the first description of use of the splenic artery for celiac revascularization.

Original language	English
Pages (from-to)	693.e1-693.e4
Journal	Annals of Vascular Surgery
Volume	24
Issue number	5
DOIs	https://doi.org/10.1016/j.avsg.2009.10.016
State	Published - 1 Jan 2010
Externally published	Yes

ASJC Scopus subject areas

Surgery
Cardiology and Cardiovascular Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.avsg.2009.10.016

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title = "Revascularization of the Celiac and Superior Mesenteric Arteries After Operative Injury Using Both Splenic Artery and Saphenous Graft",

abstract = "We report a case of iatrogenic resection of both the superior mesenteric artery (SMA) and celiac artery during left nephrectomy and adrenalectomy. A 47-year-old woman was diagnosed with a large adrenal tumor and underwent a laparoscopic left adrenalectomy that was converted to open adrenalectomy and nephrectomy as a result of a bulky tumor. Both the SMA and celiac artery were inadvertently cut at their origin because of adherence of the tumor to the aorta. Both arteries were revascularized by anastomosing the distal splenic artery to the aorta after performing splenectomy to revascularize the celiac circulation and using an autologous saphenous vein graft to revascularize the SMA. The patient had no postoperative complications. To our knowledge, this is the first description of use of the splenic artery for celiac revascularization.",

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AU - Abu-Gazala, Samir

AU - Schlager, Avraham

AU - Elazary, Ram

AU - Keidar, Andrei

AU - Appelbaum, Liat

AU - Rivkind, Avraham I.

AU - Khalaileh, Abed

AU - Abu-Gazala, Mahmoud

AU - Merhav, Hadar

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N2 - We report a case of iatrogenic resection of both the superior mesenteric artery (SMA) and celiac artery during left nephrectomy and adrenalectomy. A 47-year-old woman was diagnosed with a large adrenal tumor and underwent a laparoscopic left adrenalectomy that was converted to open adrenalectomy and nephrectomy as a result of a bulky tumor. Both the SMA and celiac artery were inadvertently cut at their origin because of adherence of the tumor to the aorta. Both arteries were revascularized by anastomosing the distal splenic artery to the aorta after performing splenectomy to revascularize the celiac circulation and using an autologous saphenous vein graft to revascularize the SMA. The patient had no postoperative complications. To our knowledge, this is the first description of use of the splenic artery for celiac revascularization.

AB - We report a case of iatrogenic resection of both the superior mesenteric artery (SMA) and celiac artery during left nephrectomy and adrenalectomy. A 47-year-old woman was diagnosed with a large adrenal tumor and underwent a laparoscopic left adrenalectomy that was converted to open adrenalectomy and nephrectomy as a result of a bulky tumor. Both the SMA and celiac artery were inadvertently cut at their origin because of adherence of the tumor to the aorta. Both arteries were revascularized by anastomosing the distal splenic artery to the aorta after performing splenectomy to revascularize the celiac circulation and using an autologous saphenous vein graft to revascularize the SMA. The patient had no postoperative complications. To our knowledge, this is the first description of use of the splenic artery for celiac revascularization.

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Revascularization of the Celiac and Superior Mesenteric Arteries After Operative Injury Using Both Splenic Artery and Saphenous Graft

Abstract

ASJC Scopus subject areas

UN SDGs

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