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Review
. 2019 Mar;28(1):11-16.
doi: 10.1055/s-0038-1676958. Epub 2019 Jan 8.

Visceral Artery Aneurysms: Decision Making and Treatment Options in the New Era of Minimally Invasive and Endovascular Surgery

Maen Aboul Hosn  1 , Jun Xu  1 , Mel Sharafuddin  1 , John D Corson  2
Affiliations
Review

Visceral Artery Aneurysms: Decision Making and Treatment Options in the New Era of Minimally Invasive and Endovascular Surgery

Maen Aboul Hosn et al. Int J Angiol. 2019 Mar.

Abstract

The abdominal viscera blood supply is derived from anterior branches of the abdominal aorta. Visceral artery aneurysms (VAAs) include aneurysms of the following arteries and their branches: the celiac artery, the hepatic artery, the splenic artery, the superior mesenteric artery, the inferior mesenteric artery, the pancreaticoduodenal artery, and the gastroduodenal artery. Overall VAAs comprise < 2% of all types of arterial aneurysms. Asymptomatic VAAs are now being encountered more frequently due to the widespread use of advanced diagnostic abdominal imaging. The incidental finding of a VAA frequently leaves clinicians with a dilemma as to the best course of management. The focus of this review is on current treatment options and management guidelines for both symptomatic and asymptomatic VAAs.

Keywords: abdominal viscera blood supply; aneurysm rupture; endovascular surgery; minimally invasive surgery; visceral artery aneurysms and pseudoaneurysms.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Diagnostic angiogram showing a celiac artery aneurysm extending from the ostium to the bifurcation.
Fig. 2
Fig. 2
( A ) Angiogram showing distal splenic artery aneurysm. ( B ) Exclusion of the aneurysm with sandwich double coils embolization.
Fig. 3
Fig. 3
Saccular aneurysm of the superior mesenteric artery demonstrated on angiography.
See this image and copyright information in PMC

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