Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Ruptured Visceral Artery Aneurysms

Ruptured Visceral Artery Aneurysms Willis H. Wagner, MD, Alexander D. Allins, MD, Richard L. Treiman, MD, J. Louis Cohen, MD, Robert F. Foran, MD, Phillip M. Levin, MD, and David V. Cossman, MD Los Angeles California Visceral artery aneurysms are uncommon lesions that are rarely identified in the absence of symptoms. Between February 1972 and April 1992, nine patients (5 men and 4 women) with rupture of visceral artery aneurysms were treated. The average age was 62 years old (range 39 to 86 years old). The arteries involved were the splenic (4), the common hepatic (2), the left hepatic (1), the celiac (1), and the superior mesenteric (SMA) (1). No ruptured renal artery aneurysm was identified. Six patients presented with abdominal distension, pain, and hemody- namic instability. Three patients had recurrent gastrointestinal bleeding with erosion into the duodenum, the common bile duct or the pancreatic duct. All three had unnecessary gastroin- testinal operations despite preoperative (2 patients) or intraoperative (1 patient) identification of a visceral artery aneurysm. One patient with an SMA aneurysm had ligation and bypass. Three patients with splenic artery aneurysms had splenectomy. The remaining five patients had either ligation or resection without arterial reconstruction. No end-organ dysfunction was identified. There http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annals of Vascular Surgery Springer Journals

Ruptured Visceral Artery Aneurysms

Download PDF
6 pages

Loading next page...
 
/lp/springer-journals/ruptured-visceral-artery-aneurysms-dBmVCCCke0

References (30)

Publisher
Springer Journals
Copyright
Copyright © 1997 by Annals of Vascular Surgery Inc.
Subject
Medicine & Public Health; Abdominal Surgery
ISSN
0890-5096
eISSN
1615-5947
DOI
10.1007/s100169900058
pmid
9236988
Publisher site
See Article on Publisher Site

Abstract

Willis H. Wagner, MD, Alexander D. Allins, MD, Richard L. Treiman, MD, J. Louis Cohen, MD, Robert F. Foran, MD, Phillip M. Levin, MD, and David V. Cossman, MD Los Angeles California Visceral artery aneurysms are uncommon lesions that are rarely identified in the absence of symptoms. Between February 1972 and April 1992, nine patients (5 men and 4 women) with rupture of visceral artery aneurysms were treated. The average age was 62 years old (range 39 to 86 years old). The arteries involved were the splenic (4), the common hepatic (2), the left hepatic (1), the celiac (1), and the superior mesenteric (SMA) (1). No ruptured renal artery aneurysm was identified. Six patients presented with abdominal distension, pain, and hemody- namic instability. Three patients had recurrent gastrointestinal bleeding with erosion into the duodenum, the common bile duct or the pancreatic duct. All three had unnecessary gastroin- testinal operations despite preoperative (2 patients) or intraoperative (1 patient) identification of a visceral artery aneurysm. One patient with an SMA aneurysm had ligation and bypass. Three patients with splenic artery aneurysms had splenectomy. The remaining five patients had either ligation or resection without arterial reconstruction. No end-organ dysfunction was identified. There

Journal

Annals of Vascular Surgery – Springer Journals

Published: Feb 20, 2014

There are no references for this article.