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Dr. Keith Roach: Compressed abdominal arteries lead to aneurysm surgery | For your health




Dear Doctor.. cockroach •• What is Celiac Artery Compression Syndrome? I am said to have this, and it is causing an aneurysm that needs to be repaired. I found it in a scan taken for another reason. I had a little pain after eating. — IJM

Answer • The celiac artery is one of the three large arteries that supply blood to the abdominal organs, especially the stomach, part of the small intestine, liver, and spleen. The arteries can be compressed from the outside by a structure called the median arch ligament. When this happens, other blood vessels take over the work that the celiac arteries cannot do due to compression, but sometimes people may experience abdominal pain after eating due to low blood flow. People who are symptomatic of the compression of celiac disease benefit from opening the arteries. Usually, a stent is used to keep the artery open. The celiac arteries can also be occluded by intravascular atherosclerosis, cholesterol and calcium deposits.

Increased blood flow in other blood vessels can cause abnormal dilation called an aneurysm. Unfortunately, these aneurysms can rupture, a catastrophic event. Since the risk of repairing an aneurysm is much less than the risk of rupture, it is advisable to first repair the celiac artery compression and then treat the aneurysm with coil embolization.


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