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Thanks, Amy. Will do. George ------------------------------ George Lavenson, MD glavenson@aol.com ------------------------------

MIke as you know, pancreaticoduodenal aneurysms are associated with celiac artery stenosis and occlusion, either due to MALS or atherosclerosis. This results in increased flow through the SMA and collaterals, including the PDA, resulting in aneurysmal ...

I have done a number of these for ruptured PD aneurysms. Agree on the release of the ligament for celiac decompression. Depending on clinical picture, I have delayed a bit to let the inflammation from the rupture cool down a bit. Good luck! ------------------------------ ...