Staged arterial embolization and surgical resection of a giant splenic artery aneurysm.
Splenic artery aneurysms (SAAs) are increasingly being diagnosed as incidental findings. Management modalities include operative treatment, percutaneous embolization, laparascopic ligation, and observation. Giant SAAs larger than 8 cm are a rare entity. We report the case of a 78-year-old woman with an 11 cm SAA who underwent successful percutaneous embolization, followed by surgical excision. We discuss the management of this patient and provide a review of the relevant literature. The approach to SAA should remain individualized.
Bakhos
Charles T
CT
Department of General Surgery, Hospital of Saint Raphael, New Haven, CT, USA. bakhos@sbcglobal.net
McIntosh
Bryan C
BC
Nukta
Fadi Abou
FA
Fiedler
Paul N
PN
Denatale
Ralph W
RW
Sweeney
Thomas F
TF
Ferneini
Antoine M
AM
D000368:Aged; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D033162:Incidental Findings; D008026:Ligation; D015641:Radiography, Interventional; D013157:Splenic Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D013162:Splenic Vein / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures