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Visceral artery aneurysms: a single center experience
F G Grego1, S Lepidi, R Ragazzi
1Department of Vascular surgery, University of Padova, Via Giustiniani, 2 35100 Padova, Italy. franco.grego@unipd.it
Cardiovascular Surgery (London, England)
|January 25, 2003
Summary
Splanchnic artery aneurysms are rare but dangerous. Surgical and endovascular treatments offer successful management with low recurrence rates, avoiding perioperative mortality in this study.
Area of Science:
- Vascular Surgery
- Abdominal Imaging
- Interventional Radiology
Background:
- Splanchnic artery aneurysms are rare vascular diseases with high emergency surgery mortality.
- Existing reports are often anecdotal, highlighting the need for more data.
- This study analyzes data from 16 patients treated at a single vascular surgery center.
Purpose of the Study:
- To review surgical and endovascular management of splanchnic artery aneurysms.
- To evaluate outcomes and long-term follow-up in patients with these rare aneurysms.
- To assess the efficacy and safety of different treatment modalities.
Main Methods:
- Retrospective analysis of 16 patients undergoing surgery for splanchnic artery aneurysms between 1987 and 2000.
- Diagnostic imaging included CT scans and angiography; cerebral imaging was performed preoperatively.
- Treatment involved open surgery (13 patients) or endovascular angioembolization (3 patients).
Main Results:
- No perioperative mortality was observed.
- Aneurysms were predominantly dysplastic (12 cases) with associated atherosclerotic changes.
- Long-term follow-up showed good results for vascular reconstruction, with one recurrence managed by re-operation.
Conclusions:
- Visceral artery aneurysms require careful management due to high emergency mortality.
- Both surgical and selected endovascular treatments are effective for splanchnic artery aneurysms.
- The study demonstrates successful management with low complication and recurrence rates.