Management and Urgent Repair of Ruptured Visceral Artery Aneurysms

Ferrero, Emanuele; Viazzo, Andrea; Ferri, Michelangelo; Robaldo, Alessandro; Piazza, Salvatore; Berardi, Giuseppe; Pecchio, Alberto; Cumbo, Pia; Nessi, Franco

doi:10.1016/j.avsg.2011.02.041

Cited by 47 publications

(49 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In addition, it is reported that ET is not feasible when the lesion has several collateral arteries, a large diameter, or a short distance to the visceral organ. 8,20 In this case, the aneurysm was located in the near side of both marginal arteries and intestinal wall, and the patient had no particular surgical risk.…”

Section: Discussionmentioning

confidence: 99%

Mini-Laparotomy for Superior Mesenteric Artery Aneurysm Due to Takayasu's Arteritis

Matsumoto

Ishizuka

Iso

et al. 2015

International Surgery

View full text Add to dashboard Cite

Superior mesenteric artery aneurysm (SMAA) is reported to be the third-most common type of visceral aneurysm (VA), accounting for 5% of all VAs. The etiology of SMAA is commonly thought to be infection, and it usually exists in the proximal part of the superior mesenteric artery, which is suitable for endovascular treatment. We herein report an extremely rare case of the distal part of SMAA caused by Takayasu's arteritis (TA), which was successfully resected using a mini-laparotomy method without impairing the intestinal blood supply. A 51-year-old woman was admitted to our hospital with sustained fever and lower back pain. Physical examination showed that she had a discrepancies in blood pressure between both arms. Contrast-enhanced wholebody computed tomography showed stenosis of the thoracic aorta and an aneurysm located in the distal part of the superior mesenteric artery. The diameter of the aneurysm was 4.5 cm. The aneurysm was resected via 4-cm mini-laparotomy, and the vascularity of the intestine was successfully preserved. The postoperative course was uneventful, and the patient was diagnosed as having TA based on both clinical and pathologic findings. Additional corticosteroid therapy was started to treat the arteritis, and at 3-month followup she was without critical incidents. Mini-laparotomy is a safe and less-invasive approach to treat SMAA, especially when the lesion is located in the distal part of the artery.

show abstract

Section: Discussionmentioning

confidence: 99%

Mini-Laparotomy for Superior Mesenteric Artery Aneurysm Due to Takayasu's Arteritis

Matsumoto

Ishizuka

Iso

et al. 2015

International Surgery

View full text Add to dashboard Cite

show abstract

“…The treatment is also recommended in cases of rapid expansion >0.5 cm/year, symptoms, pregnant women, or those who are fertile, and patients submitted to hepatic transplant [11,14,16]. Conversely, pseudoaneurysms must be immediately treated as the rupture rate is much greater than true aneurysms (76.3% versus 3.1%) [11,17].…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm Endovascular Treatment of a Middle Colic Arterial Branch in a Patient with an Intermittent Digestive Hemorrhage from an Obscure Source: Case Report

Júnior¹,

Beck²,

Perotoni³

et al. 2017

Vasc Med Surg

View full text Add to dashboard Cite

Aneurysms of the middle colic arterial branches are extremely rare, the main manifestation occurs due to the rupture and intraabdominal bleeding making death possible in up to 70% of cases. Herein, we report a case of a male patient, who is 50 years old and displays intermittent, recurrent, and self-limited episodes of a digestive hemorrhage that has been symptomatic during the course of a three-month investigation. After an extensive investigation, the patient was submitted to angiography detecting a pseudoaneurysm in the middle colic branch, being treated by embolization using micro-coils. Intermittent digestive hemorrhages from an obscure source can represent a diagnostic challenge, due to the high degree of clinical suspicion for performing the correct differential diagnosis. Arteriography must not be delayed whenever a pseudoaneurysm with active bleeding is suspected, as this exam is selected for diagnosis and the preferred method for conclusive treatment.

show abstract

“…Vis dėlto kol kas nėra A ar B lygmens rekomendacijų dėl gydymo metodo pasirinkimo [43], operacinis gydymas pasižymi stabilesniu rezultatu [44,45], o endovaskulinis gydymas tik pavienėse pastarųjų metų publikacijose nurodomas kaip sumažinantis komplikacijų skaičių ir mirtingumą [39].…”

Section: Invazinio Gydymo Pasirinkimasunclassified

Visceralinės Aneurizmos: Literatūros Apžvalga

Kvietkauskas¹

2017

Medicinos Teorija Ir Praktika

View full text Add to dashboard Cite

Reikšminiai žodžiai: visceralinių arterijų aneurizmos, visceralinės aneurizmos, aneurizmos plyšimas. Straipsnyje pateikiama visceralinių aneurizmų literatūros apžvalga. Iki šiol literatūroje apie šią patologiją publikuota per 4 000 straipsnių. Pirmasis visceralinę aneurizmą aprašė prancūzas Beaussiers 1770 metais. Visceralinėmis aneurizmomis vadinamos pilvinio kamieno, viršutinės ir apatinės pasaito, inkstų arterijų ir jų šakų aneurizmos. Jų sutinkama ne daugiau kaip 2 proc. populiacijos. Visceralinės aneurizmos skirstomos į tikras visceralines aneurizmas ir pseudoaneurizmas. Pastarosios aptinkamos dvigubai dažniau nei tikros visceralinės aneurizmos. Dažniausiai tikrosios aneurizmos susiformuoja dėl aterosklerozės, fibromuskulinės displazijos arba traumos, o pseudoaneurizmas dažniausiai sukelia pankreatitai. Pagal klinikinę stadiją skiriamos asimptominės, simptominės ir plyšusios visceralinės aneurizmos. Pastarosios pasižymi ypač dideliu mirtingumu. Visceralinės aneurizmos dažniausiai pažeidžia blužnies arterijas, rečiau – kepenų, inkstų, ypač retai – kitas visceralines arterijas. Pagrindiniai diagnostikos iššūkiai – labai įvairi ir nespecifinė visceralinių aneurizmų klinika. Pagrindinės diagnostikos naujovės – didesnės raiškos ir erdvinės vaizdinių tyrimų atmainos. Planinis invazinis gydymas taikytinas, jei visceralinių aneurizmų diametras ≥ 2 cm, taip pat kai kurių išimčių atvejais – nepriklausomai nuo aneurizmos dydžio. Esant simptominėms aneurizmoms, intervencija turi būti atliekama neatidėliotinai, o plyšusių atvejais – skubiai. Minimaliai invaziniai gydymo metodai pamažu tampa pagrindiniai gydant visceralines aneurizmas. Ypač gerų rezultatų ateityje tikimasi gydant aneurizmas srovę nukreipiančiais stentais, kai jie taps prieinamesni.

show abstract

Management and Urgent Repair of Ruptured Visceral Artery Aneurysms

Cited by 47 publications

References 10 publications

Mini-Laparotomy for Superior Mesenteric Artery Aneurysm Due to Takayasu's Arteritis

Mini-Laparotomy for Superior Mesenteric Artery Aneurysm Due to Takayasu's Arteritis

Pseudoaneurysm Endovascular Treatment of a Middle Colic Arterial Branch in a Patient with an Intermittent Digestive Hemorrhage from an Obscure Source: Case Report

Visceralinės Aneurizmos: Literatūros Apžvalga

Contact Info

Product

Resources

About