Visceral artery aneurysms as seen in a community hospital
Background: Visceral artery aneurysm (VAA) is a rare but important form of vascular pathology. Methods: A retrospective chart review was performed for all patients treated for VAAs from 1980 to 1998 at the Northern California Kaiser Hospitals. Results: Thirty-one patients with VAAs were treated, 11...
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Published in | The American journal of surgery Vol. 179; no. 6; pp. 486 - 489 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
New York, NY
Elsevier Inc
01.06.2000
Elsevier Elsevier Limited |
Subjects | |
Online Access | Get full text |
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Summary: | Background: Visceral artery aneurysm (VAA) is a rare but important form of vascular pathology.
Methods: A retrospective chart review was performed for all patients treated for VAAs from 1980 to 1998 at the Northern California Kaiser Hospitals.
Results: Thirty-one patients with VAAs were treated, 11 men and 20 women with an average age of 60 years. The arteries involved were 15 splenic, 8 hepatic, 5 superior mesenteric branch, 1 left gastric, 1 gastroduodenal, and 1 left colic. Seventy-four percent of patients presented with acute abdominal pain and/or shock secondary to aneurysm rupture. Angioembolization was performed in 9, and 25 were treated surgically. There was no morbidity, and 1 death (3.2%).
Conclusions: Patients with VAAs often present to the community hospital general surgeon as acute abdominal emergencies. Symptomatic VAAs can be managed successfully by simple ligation in the primary care setting. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0002-9610 1879-1883 |
DOI: | 10.1016/S0002-9610(00)00380-9 |