Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Surgery
Published in: BMC Surgery 1/2014

Open Access 01-12-2014 | Case report

Successful treatment of aberrant splenic artery aneurysm with a combination of coils embolization and covered stents

Authors: Weimin Zhou, Jiehua Qiu, Qingwen Yuan, Wei Zhou, Jixin Xiong, Qingzhong Zeng

Published in: BMC Surgery | Issue 1/2014

Login to get access

Abstract

Background

Aneurysms of an aberrant splenic artery originating from the superior mesenteric artery (SMA) are extremely rare; however, they are clinically important because possible rupture could be catastrophic. The methods of treatment for this condition include surgical resection, minimally invasive techniques (include laparoscopic technique) and endovascular therapy. The purpose of this study is to evaluate the efficacy of coils embolization combined with covered stents to treat aberrant splenic artery aneurysm (SAA).

Cases Presentation

We report four consecutive cases of aberrant SAA that the aberrant splenic artery was embolized with coils and the superior mesenteric artery was excluded with a covered stent and an up-to-date review of all previous cases in the field. A follow-up computed tomography performed 6 to 12 months postoperatively showed persistent exclusion with marked shrinkage of the aneurysm sac.

Conclusions

The authors believe although early results are promising, further careful follow-up will be needed to determine the long-term clinical efficacy, safety and applicability of this approach.
Appendix
Available only for authorised users
Literature
1.
Ghatan JD, Beranbaum ER, Bowles LT, Veith FJ: Aneurysm of anomalous splenic artery. Ann Surg. 1967, 166 (1): 144-146. 10.1097/00000658-196707000-00017.CrossRefPubMedPubMedCentral
2.
Sidhu PS, Khaw KT, Belli AM: Anomalous splenic artery aneurysm: demonstration on CT scanning and angiography. Postgrad Med J. 1995, 71 (831): 49-51. 10.1136/pgmj.71.831.49.CrossRefPubMedPubMedCentral
3.
Settembrini PG, Jausseran JM, Roveri S, Ferdani M, Carmo M, Rudondy P, Serra MG, Pezzuoli G: Aneurysms of anomalous splenomesenteric trunk: clinical features and surgical management in two cases. J Vasc Surg. 1996, 24 (4): 687-692. 10.1016/S0741-5214(96)70085-X.CrossRefPubMed
4.
Patel P, Turner PJ, Curley PJ: Reconstruction of the SMA after excision of ananomalous splenic artery aneurysm. Eur J Vasc Endovasc Surg. 1998, 15 (4): 369-370. 10.1016/S1078-5884(98)80043-9.CrossRefPubMed
5.
Pillay WR, Lalloo S, Thomson SR, Conrads MA: Embolisation of metachronous pseudoaneurysms complicating chronic pancreatitis. HPB (Oxford). 2003, 5 (4): 251-253. 10.1080/13651820310017138.CrossRef
6.
Feo CF, Scanu AM, Fancellu A, Costantino S: Visceral aneurysm and vascular anomaly involving the splenic artery. Dig Dis Sci. 2004, 49 (9): 1378-1380.CrossRefPubMed
7.
Mastracci TM, Cadeddu M, Colopinto RF, Cinà C: A minimally invasive approach to the treatment of aberrant splenic artery aneurysms: a report of two cases. J Vasc Surg. 2005, 41 (6): 1053-1057. 10.1016/j.jvs.2005.01.056.CrossRefPubMed
8.
Migliara B, Lipari G, Mansueto GC, Riva F, Baggio E: Managing anomalous splenic artery aneurysm: a review of the literature and report of two cases. Ann Vasc Surg. 2005, 19 (4): 546-552. 10.1007/s10016-005-5048-0.CrossRefPubMed
9.
Tochii M, Ogino H, Sasaki H, Matsuda H, Minatoya K, Yagihara T, Kitamura S: Successful surgical treatment for aneurysm of splenic artery with anomalous origin. Ann Thorac Cardiovasc Surg. 2005, 11 (5): 346-349.PubMed
10.
Sato M, Anno I, Yamaguchi M, Iida H, Orii K: Splenic artery aneurysm of the anomalous splenomesenteric trunk: successful treatment by transcatheter embolization using detachable coils. Cardiovasc Intervent Radiol. 2006, 29 (3): 432-434. 10.1007/s00270-005-0036-x.CrossRefPubMed
11.
LaBella GD, Muck P, Kasper G, Welling R, Schlueter F, Vaughan A: Operative management of an aberrant splenic artery aneurysm: utility of the medial visceral rotation approach a case report and review of the literature. Vasc Endovascular Surg. 2006, 40 (4): 331-333. 10.1177/1538574406292005.CrossRefPubMed
12.
Facy O, Naouri A, Dugas B, Kadji M, Bernard P, Gabrielle F: Aneurysm of the splenic artery arising from the superior mesenteric artery: therapeutic management. Ann Chir. 2006, 131: 401-404. 10.1016/j.anchir.2006.01.009.CrossRefPubMed
13.
Illuminati G, LaMuraglia G, Nigri G, Vietri F: Surgical repair of an aberrant splenic artery aneurysm: report of a case. Ann Vasc Surg. 2007, 21 (2): 216-218. 10.1016/j.avsg.2006.06.014.CrossRefPubMed
14.
Liu Q, Lu JP, Wang F, Wang L, Jin AG, Wang J, Tian JM: Detection of anomalous splenic artery aneurysms with three-dimensional contrast-enhanced MR angiography. Abdom Imaging. 2009, 34 (6): 772-776. 10.1007/s00261-008-9467-6.CrossRefPubMed
15.
Tanigawa N, Kariya S, Kojima H, Tokuda T, Komemushi A, Sawada S: Transcatheter coil embolization of an aneurysm of an anomalous splenic artery:usefulness of double microcatheter method. Minim Invasive Ther Allied Technol. 2009, 18 (5): 311-314. 10.1080/13645700903201365.CrossRefPubMed
16.
De Cloedt L, Lavigne CM, Lardinois F, Periquet Y, Verhelst R: Aneurysm of the splenic artery which arises from the superior mesenteric artery: a case report. Acta Chir Belg. 2010, 110: 332-334.CrossRefPubMed
17.
Jiang J, Ding X, Su Q, Zhang G, Wang Z, Hu S: Endovascular stent-graft placement and coil embolization for an anomalous splenic artery aneurysm. J Vasc Surg. 2011, 54 (1): 208-211. 10.1016/j.jvs.2010.11.116.CrossRefPubMed
18.
Taneja M, Pasupathy S: Endovascular exclusion of aberrant splenic artery aneurysm with covered stent. Singapore Med J. 2011, 52 (12): e244-247.PubMed
19.
Shu C, Hu X, Luo M, Li Q, Li M, Jiang X: A review of SA aneurysms with a small subsection on aneurysms arising from a splenomesenteric trunk. Int Angiol. 2011, 30 (5): 395-407.PubMed
20.
Borioni R, De Persio G, Leporace M, Di Capua C, Boggi U, Garofalo M: Endovascular treatment of multiple anomalous splenic artery aneurysms in a Jehovah witness. G Chir. 2013, 34 (1–2): 42-45.PubMed
21.
Wong SS, Lindsay TF, Roche-Nagle G: Anomalous splenic artery aneurysm. Vascular. 2013, 21 (2): 105-108. 10.1177/1708538113478717.CrossRefPubMed
22.
Abbas MA, Stone WM, Fowl RJ, Gloviczki P, Oldenburg WA, Pairolero PC, Hallett JW, Bower TC, Panneton JM, Cherry KJ: Splenic artery aneurysms: two decades experience at Mayoclinic. Ann Vasc Surg. 2002, 16: 442-449. 10.1007/s10016-001-0207-4.CrossRefPubMed
23.
Stanley JC, Fry WJ: Pathogenesis and clinical significance of splenic artery aneurysms. Surgery. 1974, 76: 898-909.PubMed
24.
Michels NA, Siddharth P, Kornblith PL, Parke WW: Routes of collateral circulation of the gastrointestinal tract as ascertained in a dissection of 500 bodies. Int Surg. 1968, 49: 8-28.PubMed
25.
Guillon R, Garcier JM, Abergel A, Mofid R, Garcia V, Chahid T, Ravel A, Pezet D, Boyer L: Management of splenic artery aneurysms and false aneurysms with endovascular treatment in 12 patients. Cardiovasc Intervent Radiol. 2003, 26: 256-60. 10.1007/s00270-003-1948-y.CrossRefPubMed
26.
Tulsyan N, Kashyap VS, Greenberg RK, Sarac TP, Clair DG, Pierce G, Ouriel K: The endovascular management of visceral artery aneurysms and pseudoaneurysms. J Vasc Surg. 2007, 45: 276-83. 10.1016/j.jvs.2006.10.049.CrossRefPubMed
Metadata
Title
Successful treatment of aberrant splenic artery aneurysm with a combination of coils embolization and covered stents
Authors
Weimin Zhou
Jiehua Qiu
Qingwen Yuan
Wei Zhou
Jixin Xiong
Qingzhong Zeng
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Surgery / Issue 1/2014
Electronic ISSN: 1471-2482
DOI
https://doi.org/10.1186/1471-2482-14-62

Other articles of this Issue 1/2014

BMC Surgery 1/2014 Go to the issue

Research article

Analysis of operative efficacy for giant pituitary adenoma

Research article

Feasibility of enhanced recovery after surgery in gastric surgery: a retrospective study

Research article

The laparoscopic hiatoplasty with antireflux surgery is a safe and effective procedure to repair giant hiatal hernia

Technical advance

Novel application of simultaneous multi-image display during complex robotic abdominal procedures

Research article

Intraoperative use of enriched collagen and elastin matrices with freshly isolated adipose-derived stem/stromal cells: a potential clinical approach for soft tissue reconstruction

Research article

The evidence based dilemma of intraperitoneal drainage for pancreatic resection – a systematic review and meta-analysis