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 |
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Abstract | 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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AbstractList | 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. BACKGROUNDVisceral artery aneurysm (VAA) is a rare but important form of vascular pathology.METHODSA retrospective chart review was performed for all patients treated for VAAs from 1980 to 1998 at the Northern California Kaiser Hospitals.RESULTSThirty-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%).CONCLUSIONSPatients 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. Visceral artery aneurysm (VAA) is a rare but important form of vascular pathology. A retrospective chart review was performed for all patients treated for VAAs from 1980 to 1998 at the Northern California Kaiser Hospitals. 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%). 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. 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. |
Author | Carmeci, Charles McClenathan, James |
Author_xml | – sequence: 1 givenname: Charles surname: Carmeci fullname: Carmeci, Charles organization: Department of Surgery (CC), Stanford University, Stanford, California, USA – sequence: 2 givenname: James surname: McClenathan fullname: McClenathan, James organization: Department of Surgery (JM), Kaiser Permanente Hospital, Santa Clara, California, USA |
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Cites_doi | 10.1007/BF02000601 10.1016/S0039-6109(05)70559-4 10.1001/archsurg.1970.01340300045009 |
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Keywords | Angiography Aneurysm Cardiovascular disease Visceral artery Arterial disease Vascular disease Surgery Adult Diagnosis Localization Human Visceral artery arteriography Radiodiagnosis General surgery General hospital Treatment efficiency Instrumentation therapy Exploration Anatomy Artery Symptomatology Treatment Medical imagery Embolization Computerized axial tomography |
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References | Hetzler, Thiele (BIB8) 1986; 9 Messina, Shanley (BIB2) 1997; 77 Shanley, Shah, Messina (BIB7) 1996; 10 Trastek, Pairolero, Joyce (BIB5) 1982; 91 Hashizume, Ohta, Ueno (BIB6) 1993; 113 Stanley (BIB3) 1981 Stanley, Thompson, Fry (BIB4) 1970; 101 Panayiotopoulos, Taylor, Assadourian (BIB1) 1996; 78 Hetzler (10.1016/S0002-9610(00)00380-9_BIB8) 1986; 9 Shanley (10.1016/S0002-9610(00)00380-9_BIB7) 1996; 10 Messina (10.1016/S0002-9610(00)00380-9_BIB2) 1997; 77 Stanley (10.1016/S0002-9610(00)00380-9_BIB4) 1970; 101 Stanley (10.1016/S0002-9610(00)00380-9_BIB3) 1981 Trastek (10.1016/S0002-9610(00)00380-9_BIB5) 1982; 91 Hashizume (10.1016/S0002-9610(00)00380-9_BIB6) 1993; 113 Panayiotopoulos (10.1016/S0002-9610(00)00380-9_BIB1) 1996; 78 |
References_xml | – start-page: 387 year: 1981 ident: BIB3 article-title: Abdominal visceral aneurysms publication-title: Vascular Emergencies contributor: fullname: Stanley – volume: 91 start-page: 694 year: 1982 ident: BIB5 article-title: Splenic artery aneurysms publication-title: Surgery contributor: fullname: Joyce – volume: 78 start-page: 412 year: 1996 end-page: 419 ident: BIB1 article-title: Aneurysms of the visceral and renal arteries publication-title: Ann R Coll Surg Engl contributor: fullname: Assadourian – volume: 113 start-page: 352 year: 1993 end-page: 354 ident: BIB6 article-title: Laparoscopic ligation of splenic artery aneurysm publication-title: Surgery contributor: fullname: Ueno – volume: 10 start-page: 506 year: 1996 ident: BIB7 article-title: Uncommon splanchnic artery aneurysms publication-title: Ann Vasc Surg contributor: fullname: Messina – volume: 101 start-page: 689 year: 1970 ident: BIB4 article-title: Splanchnic artery aneurysms publication-title: Arch Surg contributor: fullname: Fry – volume: 77 start-page: 425 year: 1997 end-page: 442 ident: BIB2 article-title: Visceral artery aneurysms publication-title: Surg Clin North Am contributor: fullname: Shanley – volume: 9 start-page: 69 year: 1986 end-page: 76 ident: BIB8 article-title: Hepatic artery aneurysms publication-title: Surg Rounds contributor: fullname: Thiele – volume: 9 start-page: 69 issue: 7 year: 1986 ident: 10.1016/S0002-9610(00)00380-9_BIB8 article-title: Hepatic artery aneurysms publication-title: Surg Rounds contributor: fullname: Hetzler – volume: 78 start-page: 412 year: 1996 ident: 10.1016/S0002-9610(00)00380-9_BIB1 article-title: Aneurysms of the visceral and renal arteries publication-title: Ann R Coll Surg Engl contributor: fullname: Panayiotopoulos – volume: 10 start-page: 506 year: 1996 ident: 10.1016/S0002-9610(00)00380-9_BIB7 article-title: Uncommon splanchnic artery aneurysms publication-title: Ann Vasc Surg doi: 10.1007/BF02000601 contributor: fullname: Shanley – volume: 77 start-page: 425 year: 1997 ident: 10.1016/S0002-9610(00)00380-9_BIB2 article-title: Visceral artery aneurysms publication-title: Surg Clin North Am doi: 10.1016/S0039-6109(05)70559-4 contributor: fullname: Messina – start-page: 387 year: 1981 ident: 10.1016/S0002-9610(00)00380-9_BIB3 article-title: Abdominal visceral aneurysms contributor: fullname: Stanley – volume: 101 start-page: 689 year: 1970 ident: 10.1016/S0002-9610(00)00380-9_BIB4 article-title: Splanchnic artery aneurysms publication-title: Arch Surg doi: 10.1001/archsurg.1970.01340300045009 contributor: fullname: Stanley – volume: 113 start-page: 352 year: 1993 ident: 10.1016/S0002-9610(00)00380-9_BIB6 article-title: Laparoscopic ligation of splenic artery aneurysm publication-title: Surgery contributor: fullname: Hashizume – volume: 91 start-page: 694 year: 1982 ident: 10.1016/S0002-9610(00)00380-9_BIB5 article-title: Splenic artery aneurysms publication-title: Surgery contributor: fullname: Trastek |
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Snippet | Background: Visceral artery aneurysm (VAA) is a rare but important form of vascular pathology.
Methods: A retrospective chart review was performed for all... Visceral artery aneurysm (VAA) is a rare but important form of vascular pathology. A retrospective chart review was performed for all patients treated for VAAs... Background: Visceral artery aneurysm (VAA) is a rare but important form of vascular pathology.Methods: A retrospective chart review was performed for all... BACKGROUNDVisceral artery aneurysm (VAA) is a rare but important form of vascular pathology.METHODSA retrospective chart review was performed for all patients... |
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SubjectTerms | Abdomen Adult Aged Aged, 80 and over Aneurysm Aneurysm - diagnostic imaging Aneurysm - mortality Aneurysm - surgery Angiography Arteries Asymptomatic Biological and medical sciences Biopsy Blood and lymphatic vessels Cardiology. Vascular system Case reports Cholecystectomy Diseases of the cardiovascular system Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Emergencies Female Hemorrhagic shock Hepatic Artery - diagnostic imaging Hepatic Artery - surgery Hospitals Humans Laparoscopy Laparotomy Liver Male Medical records Medical referrals Medical sciences Mesenteric Arteries - diagnostic imaging Mesenteric Arteries - surgery Middle Aged Morbidity Nitric oxide Pain Pancreatitis Pathology Patients Primary care Prognosis Pseudoaneurysm Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Retrospective Studies Splenic Artery - diagnostic imaging Splenic Artery - surgery Surgeons Survival Rate Tomography, X-Ray Computed Trauma Vascular surgery Vascular Surgical Procedures - methods |
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