A Surgical Case of Dorsal Pancreatic Artery Aneurysm Due to Median Arcuate Ligament Syndrome

Key Points

• The aim is to discuss a rare case of a dorsal pancreatic artery aneurysm linked to median arcuate ligament syndrome.
• Presented a case of a 76-year-old male with a dorsal pancreatic artery aneurysm.
• Diagnosed with celiac artery obstruction due to median arcuate ligament syndrome.
• Underwent direct surgery for aneurysm exclusion and antegrade bypass.
• Assessed vascular condition and intervention choices due to anatomical complexities.
• Successful aneurysm exclusion and reconstruction performed.
• Heightened concerns for hemodynamics led to the choice of active vascular reconstruction.
• Addressed complications related to significant calcification and stenosis.