Open Inferior Pancreatic Artery Aneurysm Resection

Aditya Safaya, MD; Matthew Bronstein, MD; Sateesh Babu, MD, FACS; Gregory Veillette, MD, FACS; Igor Laskowski, MD, FACS

Product Details
Product ID: ACS-5920
Year Produced: 2019
Length: 6 min.


A 40-year old female was found to have a 2.2x1.7x2.4 cm inferior pancreatic artery (IPA) aneurysm on computed tomography as a trauma work-up after a motor accident. Her past medical history was significant for chronic pancreatitis, abdominal pain and celiac artery (CA) stenosis. A angiogram showed an occlusion of the CA and retrograde hepatic flow via the gastro-duodenal artery (GDA) from a collateral through the IPA which precluded any plans to embolize the IPA aneurysm that was arising typically, as the first prominent branch of the SMA. The patient underwent a supra-celiac aorta to common hepatic artery bypass to restore flow to the liver with excision of the inferior pancreatic aneurysm. We demonstrate in our video the important steps in the procedure including exposure, the supra-celiac bypass and the resection of the aneurysm. IPA aneurysms are extremely rare entities of mesenteric vascular pathology. Owing to high mortality associated with rupture, the general consensus is to repair the aneurysm regardless of size. It is imperative to recognize this entity, especially in the age of increasing use of imaging modalities.