Splenic Artery Aneurysm in the 1990s

Splenic artery aneurysms (SAA), although rare, are the most common visceral artery aneurysms and are known for their potential for rupture. Pregnancy and portal hypertension have been known as major risk factors. With improved methods of diagnosis and minimally invasive therapy, management and outco...

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Published inAnnals of vascular surgery Vol. 14; no. 3; pp. 223 - 229
Main Authors Dave, Sandeep P., Reis, Ernane D., Hossain, Azhar, Taub, Peter J., Kerstein, Morris D., Hollier, Larry H.
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.05.2000
Elsevier Limited
Subjects
Adult
Aged
Aged, 80 and over
Aneurysm - epidemiology
Aneurysm - surgery
Aneurysm, Ruptured - epidemiology
Aneurysm, Ruptured - surgery
Comorbidity
Female
Humans
Liver Diseases - complications
Male
Middle Aged
Retrospective Studies
Splenectomy
Splenic Artery
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ISSN0890-5096
1615-5947
DOI10.1007/s100169910039

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Summary:Splenic artery aneurysms (SAA), although rare, are the most common visceral artery aneurysms and are known for their potential for rupture. Pregnancy and portal hypertension have been known as major risk factors. With improved methods of diagnosis and minimally invasive therapy, management and outcome of SAA may change significantly. The purpose of this study was to analyze our institutional experience with SAA during the past decade. Charts of all patients (six women, three men; mean age, 60.5 [range: 31 to 81] years) with diagnoses of SAA from 1988 to 1999 were reviewed. Associated conditions included essential hypertension (6), portal hypertension (3), diabetes (1), intracranial aneurysm (1), and polyarteritis nodosa (1). Six patients were asymptomatic, and three had ruptured SAA. Diagnosis was made by angiography (2), computed tomography (3), ultrasonography (3), and exploratory laparotomy (1). Six patients underwent surgery (five required splenectomy), one had embolization, and two had no intervention. Three postoperative deaths occurred—two (intracranial aneurysm, myocardial infarction) in the first month, one (sepsis) in the ninth month. An association of liver disease with SAA was confirmed; however, no association with pregnancy was noted. Surgical treatment followed traditional methods, and mortality correlated with presence of severe comorbidity.
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ISSN:0890-5096
1615-5947
DOI:10.1007/s100169910039