Surgical considerations in chronic pseudoaneurysms involving the celiac axis.

Aneurysms involving the celiac axis are rare. We present a case of thoracoabdominal aortic aneurysm involving the celiac artery origin. A 46-year-old man was diagnosed to have an aortic aneurysm, when he presented with a one year history of abdominal pain. He underwent a laparotomy for aneurysm repair at another institution and was deemed to be inoperable. He underwent surgical repair thoracophrenolaparotomy using a 'clamp and sew method'. Approach to the aneurysm, preservation of critical structures and collaterals, resulted in an excellent patient recovery.