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Visceral artery aneurysms secondary to collateral circulation
M Porcellini1, V Iaccarino, B Bernardo
1Cattedra di Chirurgia Vascolare, Università degli Studi Federico II, Napoli.
Minerva Cardioangiologica
|September 1, 1996
Summary
Visceral artery aneurysms can develop due to hypertension and collateral circulation. Prompt treatment, including angioplasty or resection, led to successful outcomes in two reported cases.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Cardiovascular Medicine
Background:
- Visceral artery aneurysms (VAAs) are rare but can lead to serious complications.
- Secondary VAAs may arise from underlying conditions like arterial dysplasia or occlusive disease.
- Understanding the role of collateral circulation in VAA development is crucial.
Observation:
- This case report details two patients with secondary VAAs.
- Case 1: Mid-aortic dysplastic syndrome with celiac trunk and renal artery aneurysms.
- Case 2: Inferior pancreaticoduodenal artery aneurysm with common hepatic artery occlusion.
Findings:
- Both patients presented with complex visceral artery pathologies.
- Case 1 underwent successful aortic and renal artery angioplasty (PTFE-E).
- Case 2 had successful aneurysm resection.
Implications:
- Clinical observations support the link between hypertension, collateral circulation, and secondary VAAs.
- Effective management strategies include endovascular and open surgical interventions.
- Early diagnosis and treatment are vital for favorable patient outcomes.