Browsing by Author "Constantinica, Victor"

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    A Case of Pancreatic Cancer With Concomitant Median Arcuate Ligament Syndrome Treated Successfully Using an Allograft Arterial Transposition
    (Oxford Univ Press, 2015) Celik, Sebahattin; Ringe, Kristina I.; Boru, Cristian E.; Constantinica, Victor; Bektas, Hueseyin
    An association of pancreatic cancer and median arcuate ligament syndrome (MALS) is a rare and challenging situation in terms of treatment. A 60-year-old man diagnosed with pancreatic cancer underwent laparotomy. A pancreaticoduodenectomy was planned, but during the resection part of the operation, a celiac artery stenosis was noticed. The patient was diagnosed with MALS causing almost total celiac artery occlusion, with no radiological solution. The patient was re-operated the next day, and an iliac artery allograft was used for aorta-proper hepatic artery reconstruction, concomitant with the total pancreaticoduodenectomy. Preoperative meticulous evaluation of vascular structures of the celiac trunk and its branches is important, especially in pancreatic surgery. A vascular allograft may be a lifesaving alternative when vascular reconstruction is necessary.