Article

Managing arterial collaterals due to coeliac axis stenosis during pancreaticoduodenectomy.

Institute of Liver Studies, Kings College Hospital, London, UK.
JOP: Journal of the pancreas 02/2009; 10(5):547-9.
Source: PubMed

ABSTRACT Coeliac artery stenosis is a condition affecting a minority of patients undergoing pancreaticoduodenectomy. In such cases, the development of collateral pathways through the blood supply of the pancreatic head provides challenges for surgical management.
We report a case of coeliac artery stenosis in a patient undergoing pancreaticoduodenectomy. The main blood supply for the coeliac axis was through a single collateral channel, formed by the anterior pancreaticoduodenal arterial arcade. We describe the preservation of this arcade, resection of the redundant artery with primary anastomosis and a review of the literature.
Management of coeliac artery stenosis during pancreaticoduodenectomy depends on identifying the cause and dealing with it accordingly, intraoperatively.

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