Related Experiment Videos
Splenic artery aneurysm in the 1990s.
S P Dave1, E D Reis, A Hossain
1Department of Surgery, The Mount Sinai-NYU Medical Center/Health System, New York, NY 10029-6574, USA.
Annals of Vascular Surgery
|May 5, 2000
Summary
Splenic artery aneurysms (SAA) are rare but can rupture. This study found liver disease is associated with SAA, but pregnancy is not, and mortality links to comorbidities.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Radiology
Background:
- Splenic artery aneurysms (SAA) are the most common visceral artery aneurysms, with rupture as a known complication.
- Pregnancy and portal hypertension are recognized risk factors for SAA.
- Advances in diagnostic and therapeutic techniques may alter SAA management and outcomes.
Purpose of the Study:
- To analyze institutional experience with splenic artery aneurysms over a decade (1988-1999).
- To identify associated conditions and evaluate outcomes of SAA management.
Main Methods:
- Retrospective review of patient charts diagnosed with SAA between 1988 and 1999.
- Diagnosis utilized angiography, computed tomography, ultrasonography, and exploratory laparotomy.
- Treatment included surgery (with splenectomy in most cases), embolization, or no intervention.
Main Results:
- Nine patients (6 female, 3 male; mean age 60.5 years) were identified.
- Associated conditions included essential hypertension, portal hypertension, diabetes, intracranial aneurysm, and polyarteritis nodosa.
- Three patients presented with ruptured SAA; three postoperative deaths occurred, linked to severe comorbidities.
Conclusions:
- A confirmed association between liver disease and splenic artery aneurysms was observed.
- No association between pregnancy and SAA was found in this cohort.
- Mortality following SAA treatment correlated with the presence of severe comorbidities.