# A novel hybrid approach to treatment of multiple mesenteric aneurysms in a patient with celiac artery occlusion from Suspected chronic median arcuate ligament syndrome

## TL;DR

A new hybrid treatment approach is described for managing multiple mesenteric aneurysms in a patient with celiac artery occlusion.

## Contribution

A novel hybrid treatment method is introduced for managing aneurysms in the presence of celiac artery occlusion.

## Key findings

- Endovascular coiling and covered stent placement are alternatives to open repair for visceral artery aneurysms.
- Celiac artery occlusion or compression complicates endovascular management, requiring a novel hybrid approach.

## Abstract

The management of visceral artery aneurysms is evolving with endovascular coiling and covered stent placement used as alternatives to open repair. Celiac artery occlusion or compression complicates ablative endovascular management. The purpose of this report was to discuss the etiology of this uncommon phenomenon and describe a novel hybrid approach to treatment.