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.

View more

Leave a Reply