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Visceral Artery Aneurysms

  • Clinical Research
  • Published:
Annals of Vascular Surgery

Abstract

Visceral artery aneurysms (VAA) frequently present as life-threatening emergencies. The purpose of this study was to review our experience with VAA treatment. Between 1988 and April 2002, 31 VAA were treated in 28 patients (14 males, 14 females) with average age of 55 ± 15 years. The most common locations were the splenic artery (16) and the hepatic artery (7). Three patients underwent emergency surgery, 22 patients had elective open surgery, and 7 patients underwent endovascular treatment. In the surgical group the perioperative mortality rate was 3.6%. The perioperative morbidity rate was 7.1% (one case of respiratory distress manifested in the immediate postoperative period and one urgent case of bilious fistula). In the endovascular group none of the patients died; the perioperative morbidity rate was of 14.3% (one case of hepatic artery thrombosis after failure of gastroduodenal artery aneurysm embolization). Failure of the procedure was 42.9% (3 cases of aneurysm recanalization). In conclusion, we believe that an aggressive surgical approach is justified, even in the case of asymptomatic VAA, because of the low morbidity and mortality rates. Endovascular treatment should be reserved for selected cases.

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References

  1. NA Diettrich JC Cacioppo DPW Ying (1988) ArticleTitleMassive gastrointestinal hemorrhage caused by rupture of a jejunal branch artery aneurysm J Vasc Surg 8 187–189 Occurrence Handle10.1067/mva.1988.avs0080187

    Article  Google Scholar 

  2. O Rokke K Sondenaa S Amundsen et al. (1996) ArticleTitleThe diagnosis and management of splanchnic artery aneurysms Scand J Gastroenterol 31 737–743

    Google Scholar 

  3. CJ Shanley NL Shah LM Messina (1996) ArticleTitleCommon splanchnic artery aneurysms: splenic, hepatic, and celiac Ann Vasc Surg 10;3 315–322

    Google Scholar 

  4. CJ Shanley NL Shah LM Messina (1996) ArticleTitleUncommon splanchnic artery aneurysms: pancreaticoduodenal, gastroduodenal, superior mesenteric, inferior mesenteric, and colic Ann Vasc Surg 10 506–515

    Google Scholar 

  5. GB Zelenock JC Stanley (2000) Splanchnic artery aneurysms RB Rutherford (Eds) Vascular Surgery EditionNumber5 W.B. Saunders Philadelphia 1369–1382

    Google Scholar 

  6. JC Stanley WJ Fry (1974) ArticleTitlePathogenesis and clinical significance of splenic artery aneurysms Surgery 76 898–909

    Google Scholar 

  7. VF Trastek PC Pairolero JW Joyce et al. (1982) ArticleTitleSplenic artery aneurysms Surgery 91 694–699

    Google Scholar 

  8. SC Carr WH Pearce RL Vogelzang et al. (1996) ArticleTitleCurrent management of visceral artery aneurysms Surgery 120 627–633 Occurrence Handle1:STN:280:ByiD3Mrnt1Y%3D Occurrence Handle8862370

    CAS  PubMed  Google Scholar 

  9. G Melissano R Chiesa (1998) ArticleTitleSuccessful surgical treatment of visceral artery aneurysms after failure of percutaneous treatment Tex Heart Inst J 25 75–78

    Google Scholar 

  10. LM Messina CJ Shanley (1997) ArticleTitleVisceral artery aneurysms Surg Clin North Am 77 425–442 Occurrence Handle1:STN:280:ByiB1M3hvVc%3D Occurrence Handle9146723

    CAS  PubMed  Google Scholar 

  11. SG Mattar AB Lumsden (1995) ArticleTitleThe management of splenic aneurysms: experience with 23 cases Am J Surg 169 580–584 Occurrence Handle10.1016/S0002-9610(99)80225-6 Occurrence Handle1:STN:280:ByqB1cblsFc%3D Occurrence Handle7771620

    Article  CAS  PubMed  Google Scholar 

  12. RJ Chan TA Goodman TH Aretz et al. (1998) ArticleTitleSegmental mediolytic arteriopathy of the splenic and hepatic arteries mimicking systemic necrotizing vasculitis Arthritis Rheum 41 935–938 Occurrence Handle10.1002/1529-0131(199805)41:5<935::AID-ART22>3.0.CO;2-N

    Article  Google Scholar 

  13. RJ Holdsworth A Gunn (1992) ArticleTitleRuptured splenic aneurysm in pregnancy: a review Br J Obstet Gynaecol 99 595–597

    Google Scholar 

  14. T Weber E Hanisch RP Baum et al. (1998) ArticleTitleLate results of heterotopic autotransplantation of splenic tissue into the greater omentum World J Surg 22 883–889 Occurrence Handle10.1007/s002689900487

    Article  Google Scholar 

  15. AB Lumsden SG Mattar RC Allen et al. (1996) ArticleTitleHepatic artery aneurysms: the management of 22 patients J Surg Res 60 345–350 Occurrence Handle10.1006/jsre.1996.0055

    Article  Google Scholar 

  16. PL Jeans (1988) ArticleTitleHepatic artery aneurysms and biliary surgery: two cases and a literature review Aust NZ J Surg 58 889–894

    Google Scholar 

  17. PU Reber HU Baer AG Patel et al. (1998) ArticleTitleLife-threatening upper gastrointestinal tract bleeding caused by ruptured extrahepatic pseudoaneurysm after pancreatoduodenectomy Surgery 124 114–115 Occurrence Handle10.1067/msy.1998.89133

    Article  Google Scholar 

  18. RW Busuttil BJ Brin (1980) ArticleTitleThe diagnosis and management of visceral artery aneurysms Surgery 88 619–624

    Google Scholar 

  19. SG Friedman GJ Pogo CG Moccio (1987) ArticleTitleMycotic aneurysm of the superior mesenteric artery J Vasc Surg 6 87–90 Occurrence Handle10.1067/mva.1987.avs0060087

    Article  Google Scholar 

  20. RH Geelkerken JH Bockel Particlevan WK Roos Particlede et al. (1990) ArticleTitleSurgical treatment of intestinal artery aneurysms Eur J Vasc Surg 4 563–567

    Google Scholar 

  21. JC Stanley NW Thompson WJ Fry (1970) ArticleTitleSplanchnic artery aneurysms Arch Surg 101 689–697 Occurrence Handle1:STN:280:CS6D28zhtVY%3D Occurrence Handle5489293

    CAS  PubMed  Google Scholar 

  22. FC Violago AR Downs (1971) ArticleTitleRuptured atherosclerotic aneurysm of the superior mesenteric artery with celiac axis occlusion Ann Surg 174 207–210

    Google Scholar 

  23. CB Wright J Schoepfle SB Kurtock et al. (1982) ArticleTitleGastrointestinal bleeding and mycotic superior mesenteric aneurysm Surgery 92 40–44

    Google Scholar 

  24. LM Graham JC Stanley WM Whitehouse SuffixJr et al. (1985) ArticleTitleCeliac artery aneurysms: Historic (1745-1949) versus contemporary (1950-1984) differences in etiology and clinical importance J Vasc Surg 2 757–762 Occurrence Handle10.1067/mva.1985.avs0020757

    Article  Google Scholar 

  25. JM Graham CH McCollum ME DeBakey (1980) ArticleTitleAneurysms of the splanchnic arteries Am J Surg 140 797 Occurrence Handle10.1016/0002-9610(80)90120-8

    Article  Google Scholar 

  26. SP Murray LM Kuestner RJ Stoney (1995) ArticleTitleTransperitoneal medial visceral rotation Ann Vasc Surg 9 209–216

    Google Scholar 

  27. FE Eckhauser JC Stanley GB Zelenock et al. (1980) ArticleTitleGastroduodenal and pancreaticoduodenal artery aneurysms: a complication of pancreatitis causing spontaneous gastrointestinal hemorrhage Surgery 88 335–344 Occurrence Handle1:STN:280:Bi6D3Mrotl0%3D Occurrence Handle6968101

    CAS  PubMed  Google Scholar 

  28. DM Gangahar SW Carveth HE Reese et al. (1985) ArticleTitleTrue aneurysm of the pancreaticoduodenal artery: a case report and review of the literature J Vasc Surg 2 741–742 Occurrence Handle10.1067/mva.1985.avs0020741

    Article  Google Scholar 

  29. P Pitkaranta R Haapiainen L Kivisaari et al. (1991) ArticleTitleDiagnostic evaluation and aggressive surgical approach in bleeding pseudoaneurysms associated with pancreatic pseudocysts Scand J Gastroenterol 26 58–64

    Google Scholar 

  30. TA Salam AB Lumsden LG Martin et al. (1992) ArticleTitleNon-operative management of visceral aneurysms and pseudoaneurysms Am J Surg 164 215–219

    Google Scholar 

  31. K Kasirajan RK Greenberg D Clair et al. (2001) ArticleTitleEndovascular management of visceral artery aneurysm J Endovasc Ther 8 150–155 Occurrence Handle10.1583/1545-1550(2001)008<0150:EMOVAA>2.0.CO;2

    Article  Google Scholar 

  32. A Gabelmann J Gorich EM Merkle (2002) ArticleTitleEndovascular treatment of visceral artery aneurysms J Endovasc Ther 9 38–47 Occurrence Handle10.1583/1545-1550(2002)009<0038:ETOVAA>2.0.CO;2

    Article  Google Scholar 

  33. H Schanzer MC Papa CM Miller (1985) ArticleTitleRupture of surgically thrombosed abdominal aortic aneurysm J Vasc Surg 2 278–280 Occurrence Handle10.1067/mva.1985.avs0020278

    Article  Google Scholar 

  34. RA Schwartz WK Nichols D Silver (1986) ArticleTitleIs thrombosis of the infrarenal abdominal aortic aneurysm an acceptable alternative? J Vasc Surg 3 448–455 Occurrence Handle10.1067/mva.1986.avs0030448

    Article  Google Scholar 

  35. T Onohara K Okadome K Yasumori et al. (1992) ArticleTitleRupture of embolized colic artery pseudoaneurysm into the stomach: is coil embolization an effective treatment for celiac anastomotic pseudoaneurysm? Eur J Vasc Surg 6 330–332

    Google Scholar 

  36. PF Salcuni L Spaggiari T Tecchio et al. (1995) ArticleTitleHepatic artery aneurysm: an ever present danger J Cardiovasc Surg 36 595–599

    Google Scholar 

  37. M Venturini E Angeli M Salvioni et al. (2002) ArticleTitleA Hemorrhage from a right hepatic artery pseudoaneurysm: endovascular treatment with a coronary stent-graft J Endovasc Ther 9 221–224 Occurrence Handle10.1583/1545-1550(2002)009<0221:HFARHA>2.0.CO;2 Occurrence Handle12010105

    Article  PubMed  Google Scholar 

  38. C Carmeci J McClenathan (2000) ArticleTitleVisceral artery aneurysms as seen in a community hospital Am J Surg 179 486–489

    Google Scholar 

  39. F Muscari A Barret X Chaufour et al. (2002) ArticleTitleManagement of visceral artery aneurysms: retrospective study of 23 cases Ann Chir 179 281–288 Occurrence Handle10.1016/S0003-3944(02)00746-0

    Article  Google Scholar 

  40. FG Grego S Lepidi R Ragazzi et al. (2003) ArticleTitleVisceral artery aneurysms: a single center experience Cardiovasc Surg 11 19–25 Occurrence Handle10.1016/S0967-2109(02)00121-7

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Vascular Surgery, Vita-Salute University, IRCCS H. San Raffaele, Milan, Italy

    R. Chiesa MD, D. Astore MD, G. Guzzo MD, S. Frigerio MD, Y. Tshomba MD, R. Castellano MD, M.R. Liberato de Moura MD & G. Melissano MD

  2. Chirurgia Vascolare, Ospedale San Raffaele, Via Olgettina, 60, Milano, 20132, Italy

    R. Chiesa MD

Authors
  1. R. Chiesa MD
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  2. D. Astore MD
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  3. G. Guzzo MD
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  4. S. Frigerio MD
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  5. Y. Tshomba MD
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  6. R. Castellano MD
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  7. M.R. Liberato de Moura MD
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  8. G. Melissano MD
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Correspondence to R. Chiesa MD.

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Chiesa, R., Astore, D., Guzzo, G. et al. Visceral Artery Aneurysms. Ann Vasc Surg 19, 42–48 (2005). https://doi.org/10.1007/s10016-004-0150-2

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  • DOI: https://doi.org/10.1007/s10016-004-0150-2

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