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Related Concept Videos

Abdominal Aorta01:25

Abdominal Aorta

800
Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
800

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Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices
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Giant splenic artery aneurysm: case report.

Aleksey Vasilyevich Shabunin1,2, Vladimir Vladimirovich Bedin1,2, Mikhail Mikhailovich Tavobilov1,2

  • 1Botkin Hospital, Moscow, Russia.

Jornal Vascular Brasileiro
|December 11, 2023
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Summary

True splenic artery aneurysms are rare, with giant aneurysms posing a high rupture risk. This case highlights surgical management including splenectomy and aneurysm resection for a 12cm splenic artery aneurysm.

Keywords:
aneurysm managementaneurysm resectiondistal pancreatic resectiongiant splenic artery aneurysmsplenectomysplenic artery interventionvascular surgery

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Area of Science:

  • Vascular Surgery
  • Gastrointestinal Surgery

Background:

  • True splenic artery aneurysms are rare vascular pathologies.
  • Optimal management strategies for splenic artery aneurysms remain debated.
  • Surgical techniques have evolved from open to minimally invasive approaches.

Observation:

  • A 55-year-old woman presented with left subcostal pain, weakness, and discomfort.
  • A giant splenic artery aneurysm measuring 12x12 cm was diagnosed.
  • The patient experienced symptoms attributed to the large aneurysm.

Findings:

  • The patient underwent surgical resection of the giant splenic artery aneurysm.
  • The procedure included distal pancreatic resection and splenectomy.
  • This combined approach addressed the large aneurysm and associated organs.

Implications:

  • Timely intervention is crucial due to the high rupture risk of splenic artery aneurysms, especially giant ones.
  • Surgical resection, including splenectomy, is a viable option for large, symptomatic splenic artery aneurysms.
  • This case contributes to the limited literature on managing giant splenic artery aneurysms.