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

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.摘要 本研究报告1例39岁女性患者确诊为无症状胃十二指肠动脉瘤的病例。腹部超声检查显示胃十二指肠动脉呈瘤样扩张，直径为2×2厘米。为明确该诊断，患者随后接受了腹部及盆腔计算机断层扫描（computed tomography, CT）检查，结果提示胃十二指肠动脉存在囊状动脉瘤。采用双入路血管内技术，通过支架辅助弹簧圈栓塞术闭塞动脉瘤腔。最终血管造影证实动脉瘤腔完全闭塞。患者于术后第1日出院。