ENDOVASCULAR TREATMENT OF AN ANEURYSM OF THE SPLENIC ARTERY

Area of Science:

• Vascular Surgery
• Interventional Radiology
• Gastroenterology

Background:

• Splenic artery aneurysms constitute 60% of visceral artery aneurysms.
• Many remain asymptomatic until rupture, often discovered incidentally via imaging.
• Treatment decisions (surgical vs. endovascular) depend on aneurysm characteristics.

Observation:

• A case of an incidentally discovered, asymptomatic splenic artery aneurysm is presented.
• The patient underwent successful endovascular treatment using a covered stent.
• Follow-up CT-angiography confirmed stent patency and complete aneurysm occlusion.

Findings:

• Endovascular treatment with a covered stent is a viable option for splenic artery aneurysms.
• This minimally invasive approach achieved complete aneurysm occlusion and maintained stent patency.
• The procedure was organ-saving and effective in managing the condition.

Implications:

• Highlights the importance of considering ruptured aneurysms in acute abdominal emergencies.
• Endovascular treatment is emphasized as the preferred, minimally invasive, organ-saving option for ruptured aneurysms.
• Suggests covered stents as a successful tool for managing splenic artery aneurysms.