Endovascular treatment of a giant splenic aneurysm: a case report

June 13, 2022 Cell Biology | Medicine No Comments

The aim of the present study is to report the endovascular treatment of a giant splenic
aneurysm. Female patient, 56 years old, during an outpatient investigation of complaints
of sporadic nausea, without associated abdominal pain, a contrast-enhanced tomography
was performed, showing two saccular splenic artery aneurysms, one in the proximal third
with a diameter of 6.2×4.5cm and one in the middle-distal third of 5.1×4.4cm. Procedure
performed in three stages: initially with arteriography of the celiac trunk for therapeutic
planning; in a second moment, embolization was performed with splenic artery coils, in a
portion distal to the aneurysms, with success; and in a third moment, embolization of the
proximal portion of the splenic artery was performed, with a 12mm vascular plug, without
intercurrences. Patient with good evolution, discharged in the first postoperative period and
in outpatient follow-up. Endovascular treatment is the first choice for correction of LAAs,
and advances in methods and materials available allow it to be used as an option in cases
of complex anatomy.

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