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Case Reports
. 2021 Mar 25;2021(3):rjab046.
doi: 10.1093/jscr/rjab046. eCollection 2021 Mar.

Splenic artery aneurysm, case series of seven patients

Javad Salimi  1 , Zahra Omrani  2 , Roozbeh Cheraghali  1
Affiliations
Case Reports

Splenic artery aneurysm, case series of seven patients

Javad Salimi et al. J Surg Case Rep. .

Abstract

Splenic artery aneurysms (SAA) account for 46-60% of all visceral artery aneurysms. Small SAAs are usually asymptomatic, but giant aneurysms are more likely to cause symptoms and can result in life-threatening complications. Treatment of a splenic artery aneurysms includes laparotomy, laparoscopy or endovascular techniques. Case presentation: In this article, seven interesting cases of splenic artery aneurysms in different size and parts of artery and various interventions (open, endovascular and hybrid surgery) are discussed. Six of the patients were male. Five of them had giant SAAs (≥5 cm). Two patients underwent hybrid surgery. Coil embolization was carried out for one patient. All seven patients discharged with no procedure-related complications. Endovascular procedures considered as a first choice of treatment for splenic artery aneurysm. Open surgery is reserved mostly for the treatment of complications or if the endovascular techniques fail, lack of availability of endovascular procedures or allergy to contrast medium.

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Figures

Figure 1
Figure 1
Balloon Proximal control.
Figure 2
Figure 2
Hybrid surgery: Aneurysm sac (Left), Angiography sheath and inflator (Right).
Figure 3
Figure 3
Coil embolization.
Figure 4
Figure 4
CTA of proximal splenic aneurysm.
See this image and copyright information in PMC

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