Visceral artery aneurysms: evolving interdisciplinary management and future role of the abdominal surgeon

European Journal of Medical Research
Vittorio BranchiHanno Matthaei

Abstract

Visceral artery aneurysms (VAA) are rare vascular lesions. Clinically silent VAA are increasingly detected by cross-sectional imaging but some lesions are at risk for rupture with severe bleeding. The aim of the present study was to evaluate the trends in the interdisciplinary management at a tertiary center. Patients who underwent treatment for VAA at University Hospital of Bonn between 2005 and 2018 were enrolled in this retrospective study. Demographic, clinical, VAA-specific data as well as information on therapy, early and long-term outcome were collected and statistically analyzed. Forty-two consecutive patients, 19 females and 23 males with a median age of 59 years (range 30-91 years), were diagnosed with 56 VAA. The majority were true aneurysms (N = 32; 57%), whereas 43% (N = 24) were pseudoaneurysms. The most common localization was the splenic artery (N = 18; 32%) and the average diameter was 3 cm (range 1-5 cm). Twenty-five patients (59.5%) had VAA-related symptoms such as chronic abdominal pain and hemorrhage at primary diagnosis, while the diagnosis was incidental in 17 patients (40.5%). Eleven patients (26%) underwent open surgery whereas 29 patients (69%) received an endovascular treatment. Patients with pseudoan...Continue Reading

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Citations

Feb 11, 2020·International Journal of Colorectal Disease·Nelson SmithStephanie Chetrit
Dec 22, 2020·Annals of Vascular Surgery·Nayara Cioffi BataginiErasmo Simão da Silva
Apr 7, 2021·Annals of Vascular Surgery·Monika JohalAmer Harky

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