A patient had a large, asymptomatic celiac artery aneurysm. Elective aneurysmectomy was performed with ligation of the common hepatic, splenic, and left gastric branches. Hepatic revascularization is often necessary after excision of the celiac axis, but was not required in this patient because the gastroduodenal artery provided adequate collateral blood supply to the liver. To our knowledge, there are now 52 recorded cases of celiac artery aneurysm. Ten of these patients have undergone successful aneurysmectomy.
Hertzer NR, Mullally PH. Celiac Artery Aneurysmectomy With Hepatic Artery Ligation. Arch Surg. 1972;104(3):337-339. doi:10.1001/archsurg.1972.04180030083019