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[Visceral artery aneurysms. Multiple aneurysmal localization: a case report and literature review]

E Raad1, R Demaria, P Rouvière

  • 1Service de chirurgie cardiovasculaire, hôpital Arnaud-de-Villeneuve, CHU de Montpellier, 371, avenue du Doyen-G.-Giraud, 34295 Montpellier, France.

Journal Des Maladies Vasculaires
|July 31, 2007
PubMed

Insights

Visceral artery aneurysms are rare but dangerous. Surgical repair, like the aortohepatic bypass shown, offers a successful treatment option for these complex vascular conditions.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology

Background:

  • Visceral artery aneurysms (VAAs) are uncommon vascular pathologies carrying a significant risk of rupture and high mortality.
  • Often asymptomatic, VAAs are frequently diagnosed incidentally during routine imaging studies.

Observation:

  • A case report details a 71-year-old patient with multiple aneurysms affecting the celiac trunk, splenic artery, and common hepatic artery.
  • Surgical intervention involved an aortohepatic bypass using a polytetrafluoroethylene (PTFE) prosthesis to exclude all identified aneurysms.

Findings:

  • Postoperative angiography and angioscan confirmed the excellent patency of the PTFE graft and complete exclusion of the aneurysms.
  • The study highlights the lack of therapeutic consensus for VAAs due to diverse presentations and absent predictive factors.

Implications:

  • Surgical treatment is currently the primary therapeutic choice for visceral artery aneurysms.
  • Endovascular angioembolization is considered a secondary option, suitable for specific clinical scenarios.
  • This article aims to delineate an optimal therapeutic strategy for VAAs based on existing literature evidence.

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