Endovascular Treatment of Giant Splenic Artery Aneurysm

Introduction. Visceral artery aneurysms are uncommon. Among them, splenic artery is the most common (46–60%). Most splenic artery aneurysms are asymptomatic and diagnosed incidentally, but its rupture, potentially fatal, occurs in up to 8% of cases. Presentation of Case. A female patient, 64 years o...

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Main Authors: Adenauer Marinho de Oliveira Góes Junior, Amanda Silva de Oliveira Góes, Paloma Cals de Albuquerque, Renato Menezes Palácios, Simone de Campos Vieira Abib
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2012/964093
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author Adenauer Marinho de Oliveira Góes Junior
Amanda Silva de Oliveira Góes
Paloma Cals de Albuquerque
Renato Menezes Palácios
Simone de Campos Vieira Abib
author_facet Adenauer Marinho de Oliveira Góes Junior
Amanda Silva de Oliveira Góes
Paloma Cals de Albuquerque
Renato Menezes Palácios
Simone de Campos Vieira Abib
author_sort Adenauer Marinho de Oliveira Góes Junior
collection DOAJ
description Introduction. Visceral artery aneurysms are uncommon. Among them, splenic artery is the most common (46–60%). Most splenic artery aneurysms are asymptomatic and diagnosed incidentally, but its rupture, potentially fatal, occurs in up to 8% of cases. Presentation of Case. A female patient, 64 years old, diagnosed with a giant aneurysm of the splenic artery (approximately 6.5 cm in diameter) was successfully submitted to endovascular treatment by stent graft implantation. Discussion. Symptomatic aneurysms and those larger than 2 cm represent some of the main indications for intervention. The treatment may be by laparotomy, laparoscopy, or endovascular techniques. Among the various endovascular methods discussed in this paper, there is stent graft implantation, a method still few reported in the literature. Conclusion. Although some authors still consider the endovascular approach as an exception to the treatment of SAA, in major specialized centers these techniques have been consolidated as the preferred choice, reserving the surgical approach in cases where this cannot be used. For being a less aggressive approach, it offers an opportunity of treatment to patients considered “high risk” for surgical treatment by laparotomy/laparoscopy.
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spelling doaj-art-ea26865802514fc7bee7cab726d0b4752025-02-03T01:22:50ZengWileyCase Reports in Surgery2090-69002090-69192012-01-01201210.1155/2012/964093964093Endovascular Treatment of Giant Splenic Artery AneurysmAdenauer Marinho de Oliveira Góes Junior0Amanda Silva de Oliveira Góes1Paloma Cals de Albuquerque2Renato Menezes Palácios3Simone de Campos Vieira Abib4Department of Medical Habilities, Federal University of Pará (UFPA), Belém, PA, BrazilDepartment of Medical Habilities, Federal University of Pará (UFPA), Belém, PA, BrazilDepartment of Medical Habilities, Federal University of Pará (UFPA), Belém, PA, BrazilDepartment of Medical Habilities, Federal University of Pará (UFPA), Belém, PA, BrazilDepartment of Surgery, Federal University of São Paulo (UNIFESP), São Paulo, SP, BrazilIntroduction. Visceral artery aneurysms are uncommon. Among them, splenic artery is the most common (46–60%). Most splenic artery aneurysms are asymptomatic and diagnosed incidentally, but its rupture, potentially fatal, occurs in up to 8% of cases. Presentation of Case. A female patient, 64 years old, diagnosed with a giant aneurysm of the splenic artery (approximately 6.5 cm in diameter) was successfully submitted to endovascular treatment by stent graft implantation. Discussion. Symptomatic aneurysms and those larger than 2 cm represent some of the main indications for intervention. The treatment may be by laparotomy, laparoscopy, or endovascular techniques. Among the various endovascular methods discussed in this paper, there is stent graft implantation, a method still few reported in the literature. Conclusion. Although some authors still consider the endovascular approach as an exception to the treatment of SAA, in major specialized centers these techniques have been consolidated as the preferred choice, reserving the surgical approach in cases where this cannot be used. For being a less aggressive approach, it offers an opportunity of treatment to patients considered “high risk” for surgical treatment by laparotomy/laparoscopy.http://dx.doi.org/10.1155/2012/964093
spellingShingle Adenauer Marinho de Oliveira Góes Junior
Amanda Silva de Oliveira Góes
Paloma Cals de Albuquerque
Renato Menezes Palácios
Simone de Campos Vieira Abib
Endovascular Treatment of Giant Splenic Artery Aneurysm
Case Reports in Surgery
title Endovascular Treatment of Giant Splenic Artery Aneurysm
title_full Endovascular Treatment of Giant Splenic Artery Aneurysm
title_fullStr Endovascular Treatment of Giant Splenic Artery Aneurysm
title_full_unstemmed Endovascular Treatment of Giant Splenic Artery Aneurysm
title_short Endovascular Treatment of Giant Splenic Artery Aneurysm
title_sort endovascular treatment of giant splenic artery aneurysm
url http://dx.doi.org/10.1155/2012/964093
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