PMID- 21326742
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20110714
LR  - 20211020
IS  - 0739-9529 (Print)
IS  - 1098-8963 (Electronic)
IS  - 0739-9529 (Linking)
VI  - 24
IP  - 1
DP  - 2007 Mar
TI  - Interventional management of arc of buhler aneurysm.
PG  - 76-81
LID - 10.1055/s-2007-971193 [doi]
AB  - The Arc of Buhler (AOB) represents a persistence of the ventral anastomosis 
      between the superior mesenteric artery (SMA) and the celiac arterial systems. The 
      exact incidence of the AOB is not known, but it is believed to be </= 4%. Aneurysms 
      of this rare anomaly are even more uncommon. We report a case of an aneurysm of 
      the AOB with an intact pancreaticoduodenal artery arcade (PDAA) and near 
      occlusive celiac origin stenosis. Stenoses or occlusions of the celiac origin 
      have been reported in association with AOB aneurysms, as well as in patients with 
      PDAA aneurysms. Transcatheter embolization (TCE) was successfully performed, 
      thereby excluding the AOB aneurysm while preserving flow through the PDAA. To our 
      knowledge, this is the first report of successful percutaneous treatment of an 
      AOB aneurysm. The pathophysiology and management AOB and PDAA aneurysms are 
      reviewed. Review of the literature suggests that TCE, when feasible, is at least 
      as effective as conventional surgery in patients with PDAA aneurysms, but with 
      lower morbidity and mortality. Based on this data and our experience, we believe 
      that TCE should be the initial treatment of choice in patients with PDAA or AOB 
      aneurysms.
FAU - Dubel, Gregory J
AU  - Dubel GJ
AD  - Department of Diagnostic Imaging, Brown University Medical School, Providence, 
      Rhode Island.
FAU - Ahn, Sun Ho
AU  - Ahn SH
FAU - Saeed, M Ali
AU  - Saeed MA
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Semin Intervent Radiol
JT  - Seminars in interventional radiology
JID - 8510974
PMC - PMC3036356
OTO - NOTNLM
OT  - Arc of Buhler
OT  - Visceral aneurysm
OT  - pancreaticoduodenal arcade
OT  - pancreaticoduodenal artery
EDAT- 2007/03/01 00:00
MHDA- 2007/03/01 00:01
PMCR- 2008/03/01
CRDT- 2011/02/18 06:00
PHST- 2011/02/18 06:00 [entrez]
PHST- 2007/03/01 00:00 [pubmed]
PHST- 2007/03/01 00:01 [medline]
PHST- 2008/03/01 00:00 [pmc-release]
AID - 10.1055/s-2007-971193 [doi]
PST - ppublish
SO  - Semin Intervent Radiol. 2007 Mar;24(1):76-81. doi: 10.1055/s-2007-971193.