The management of splenic artery aneurysms

Experience with 23 cases

Samer G. Mattar, Alan B. Lumsden

Research output: Contribution to journalArticle

185 Citations (Scopus)

Abstract

BACKGROUND: Spicule artery aneurysms (SAA) are rare clinical entities that carry the risk of rupture and fatal hemorrhage. They are being detected with increased frequency and often cause a clinical dilemma, particularly when small lesions occur in compromised patients. This paper relates our experience in the management of SAA over a 14-year period. PATIENTS AND METHODS: We analyzed data from the medical charts and radiological images of all patients diagnosed with SAA at Emory University Hospital from December 1979 to January 1993. RESULTS: A search of medical records discovered 23 patients who experienced 44 SAAs during the time period under study. Twelve patients had multiple SAAs, most of them in the distal third of the artery. Seven had SAAs >2 cm in diameter. Modalities used to diagnose SAA included Doppler ultrasound in 9 patients, computerized tomography in 10, and arteriography in 21. Sixteen patients had portal hypertension. Splenomegaly was present in 13 of those with portal hypertension. Aneurysm excision and splenectomy were carried out emergently on 2 patients and electively on 1. Aneurysm ligation was performed on 3 patients. One patient underwent embolization of the lesion. Sixteen asymptomatic patients whose aneurysms were

Original languageEnglish (US)
Pages (from-to)580-584
Number of pages5
JournalAmerican Journal of Surgery
Volume169
Issue number6
DOIs
StatePublished - 1995
Externally publishedYes

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Splenic Artery
Aneurysm
Arteries
Portal Hypertension
Doppler Ultrasonography
Splenomegaly
Splenectomy
Medical Records
Ligation
Rupture
Angiography
Tomography
Hemorrhage

ASJC Scopus subject areas

  • Surgery

Cite this

The management of splenic artery aneurysms : Experience with 23 cases. / Mattar, Samer G.; Lumsden, Alan B.

In: American Journal of Surgery, Vol. 169, No. 6, 1995, p. 580-584.

Research output: Contribution to journalArticle

Mattar, Samer G. ; Lumsden, Alan B. / The management of splenic artery aneurysms : Experience with 23 cases. In: American Journal of Surgery. 1995 ; Vol. 169, No. 6. pp. 580-584.
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