Supraceliac aortohepatic bypass for an inferior pancreaticoduodenal artery aneurysm with an associated celiac artery occlusion

We report a rare case of open repair of an inferior pancreaticoduodenal artery (IPDA) aneurysm with a celiac artery occlusion. A 38-year-old woman with no past medical history developed a 2.1 × 2.1 cm saccular inferior pancreaticoduodenal artery aneurysm with a chronic celiac artery occlusion. Given her young age and vascular anatomy, open repair was performed with a supraceliac aorta to common hepatic artery bypass and aneurysm excision and ligation. Recovery was uneventful, and follow-up computed tomography scan demonstrated a patent bypass and no residual aneurysm. This case underscores the need for tailored surgical planning in complex visceral artery aneurysms when endovascular repair options are limited.