Abstract
Aneurysms of the coeliac trunk are rare. Conventional open surgical repair of such aneurysms involves general anesthesia and may necessitate complex vascular reconstruction. We report on a case of a 5cm aneurysm of the coeliac trunk in a 67-year-old male on warfarin therapy, which was treated endoluminally. Through a transcutaneous approach via the right femoral artery, the common hepatic artery as well as the left gastric artery were occluded with metal coils and a proximal stenosis of the celiac trunk was dilated by percutaneous transluminal angioplasty (PTA). Subsequently a stent graft was placed into the coeliac trunk in order to exclude the aneurysm from circulation. Interventional stent graft placement provides a suitable therapeutic approach for aneurysms of the coeliac trunk.
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