case_images: PMC10466798_01
case_images: Helicoidal 512 slice computed tomography angiography in arterial phase with 1.3 mm slices. (A) Sagittal view showing eccentric wall thickening of the LGA (arrow) from its start of the coeliac artery, evoking a dissection. (B) Coronal view of LGA dissection showing a diffuse irregular luminal narrowing (arrow). LGA, left gastric artery. (C) Normal perfusion of gastric wall (red mark), liver (blue mark) and spleen (yellow mark) in portal phase. (D) 3D-reconstruction of the celiac trunk anatomy (right lateral view, 90 ).
case_images: fcvm-10-1240853-g001.jpg
case_images: PMC10466798_01_fcvm-10-1240853-g001.jpg
case_images: F1
case_images: No associated aneurysm or signs of organ malperfusion were observed (Figures 1A-D).
case_images: Helicoidal 512 slice computed tomography angiography at 6 months in arterial phase with 1.3 mm slices. (A) Sagittal view of a less-thickened LGA (arrow) with near complete resolution of dissection. (B) Coronal view with a recanalization of the lumen of the LGA (arrow). LGA, left gastric artery.
case_images: fcvm-10-1240853-g002.jpg
case_images: PMC10466798_01_fcvm-10-1240853-g002.jpg
case_images: F2
case_images: A follow-up CTA at 6 months showed expansion of the true lumen of the LGA, and no secondary aneurysm formation or imaging signs in favor of fibromuscular dysplasia in other vascular beds were observed (Figures 2A,B).