Concomitant Symptomatic Aneurysms of Celiac Trunk and Superior Mesenteric Artery

A 64-year old man with intermittent, paraumbilical pain which is lasting for 6 months, radiating to the back with no other symptoms underwent resection of the celiac trunk and superior mesenteric artery aneurysms. According to their size and location the aneurysms were not suitable for radiological embolisation or stentnig. Elective surgical procedure was performed. End-to-end anastomosis was created between the origin of the celiac trunk and splenic artery and the vascular continuity of the superior mesenteric artery was achieved using great saphenous vein interpositum. Intraoperative samples and histological findings were consistent with atherosclerosis. The patient made a good recovery and remained well after 2 years.