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Updated: Feb 8, 2026
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Author Spotlight: Advancing Spectral Characterization of Physiological and Malperfused Tissues
Published on: July 5, 2024
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Visceral artery aneurysms
B Juntermanns1,2, J Bernheim1, K Karaindros1
1Department of Vascular Surgery and Phlebology, Contilia Heart and Vascular Center, Elisabeth Hospital, Klara-Kopp-Weg 1, 45138 Essen, Germany.
Summary
Visceral artery aneurysms are rare but carry a high rupture risk. Treatment, either open surgery or endovascular repair, is recommended for aneurysms over 2 cm, offering a 90% survival rate.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Radiology
Background:
- Visceral artery aneurysms (VAAs) are uncommon vascular conditions affecting 0.01-0.1% of the population.
- Rupture risk for VAAs >2 cm is significant (25-40%), with high mortality (76%) if rupture occurs.
- Mycotic or spurious aneurysms require treatment regardless of size.
Purpose of the Study:
- To review the epidemiology, clinical presentation, and management of visceral artery aneurysms.
- To discuss treatment options, including open surgery and endovascular repair.
- To highlight the importance of timely intervention, especially during pregnancy.
Main Methods:
- Review of existing literature on visceral artery aneurysms.
- Analysis of treatment strategies: open surgical vs. endovascular approaches.
- Discussion of indications for intervention based on aneurysm size and type.
Main Results:
- Treatment is indicated for aneurysms >2 cm, with higher risk for mycotic/spurious types.
- Open surgery or endovascular treatment are viable options, with no clear superiority of one over the other.
- Pregnancy necessitates a generous surgical indication due to potential complications.
Conclusions:
- Visceral artery aneurysms require prompt management to prevent rupture and mortality.
- Both open and endovascular treatments are effective, with satisfactory long-term outcomes (90% 5-10 year survival).
- Vigilance is crucial for abdominal pain during pregnancy, as it may indicate VAA.
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