Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2888019 | Annals of Vascular Surgery | 2010 | 4 Pages |
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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Authors
Samir Abu-Gazala, Avraham Schlager, Ram Elazary, Andrei Keidar, Liat Appelbaum, Avraham I. Rivkind, Abed Khalaileh, Mahmoud Abu-Gazala, Hadar Merhav,