Transcatheter embolization for giant splenic artery aneurisms: still an open question.
Transcatheter embolization is the mainstay of the therapy of splenic artery aneurysms (SAAs) in patients with portal hypertension. It is indicated when the SAA diameter reaches 20 mm. Although endovascular techniques are effective and safe for the treatment of medium-sized SAAs, little is known about their applicability to large-sized SAAs. Herein, we report a case of giant SAA, which was treated with transcatheter coil embolization. The case was not considered suitable for surgery because of the presence of severe portal hypertension. The procedure was complicated by bacterial infection of the coils within the aneurismatic sac, leading to the development of hepatic failure. A liver transplant was then successfully performed despite the presence of a nonresponsive infection.
Unit of Liver Transplantation, Department of Digestive Disease and Internal Medicine, 40138 Sant'Orsola-Malpighi, Italy.
Marianna
M
Mastroroberto
Sonia
S
Berardi
Matteo
M
Renzulli
Caterina
C
Maggioli
Paolo
P
Pianta
Antonio Daniele
AD
Pinna
Rita
R
Golfieri
Claudia
C
Sama