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Visceral artery aneurysm rupture
S C Carr1, D M Mahvi, J R Hoch
1University of Wisconsin, Health Sciences Center, Madison, USA. carr@surgery.wisc.edu
Journal of Vascular Surgery
|April 11, 2001
Summary
Visceral artery aneurysms (VAAs) are rare but dangerous. Aggressive treatment is essential due to a high rupture risk and a 25% mortality rate in ruptured cases.
Area of Science:
- Vascular Surgery
- Abdominal Imaging
- Interventional Radiology
Background:
- Visceral artery aneurysms (VAAs) are infrequently encountered.
- Often found incidentally, VAAs are presumed to have a benign clinical course.
- Characterizing the clinical course of VAAs is crucial for management.
Purpose of the Study:
- To characterize visceral artery aneurysms (VAAs).
- To review the clinical course and outcomes of VAA management.
- To evaluate the incidence and presentation of VAAs at a single institution.
Main Methods:
- Retrospective analysis of all diagnosed VAAs over 10 years.
- Examination of patient presentation, management, and therapeutic outcomes.
- Review of associated aneurysms in patients with VAAs.
Main Results:
- Thirty-four VAAs in 26 patients were identified.
- Splenic artery aneurysms were most common (17 cases).
- Rupture occurred in 42% of patients, with a 25% mortality rate for ruptured VAAs.
Conclusions:
- Visceral artery aneurysms (VAAs) are rare but significant vascular lesions.
- Associated aneurysms are frequently observed in patients with VAAs.
- An aggressive treatment approach for VAAs is essential due to rupture risk and potential for fatal outcomes.
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