Visceral artery aneurysms

R. Chiesa, D. Astore, G. Guzzo, S. Frigerio, Y. Tshomba, R. Castellano, M. R. Liberato De Moura, G. Melissano

Research output: Contribution to journalArticle

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Abstract

Visceral artery aneurysms (VAA) frequently present as life-threatening emergencies. The purpose of this study was to review our experience with VAA treatment. Between 1988 and April 2002, 31 VAA were treated in 28 patients (14 males, 14 females) with average age of 55 ± 15 years. The most common locations were the splenic artery (16) and the hepatic artery (7). Three patients underwent emergency surgery, 22 patients had elective open surgery, and 7 patients underwent endovascular treatment. In the surgical group the perioperative mortality rate was 3.6%. The perioperative morbidity rate was 7.1% (one case of respiratory distress manifested in the immediate postoperative period and one urgent case of bilious fistula). In the endovascular group none of the patients died; the perioperative morbidity rate was of 14.3% (one case of hepatic artery thrombosis after failure of gastroduodenal artery aneurysm embolization). Failure of the procedure was 42.9% (3 cases of aneurysm recanalization). In conclusion, we believe that an aggressive surgical approach is justified, even in the case of asymptomatic VAA, because of the low morbidity and mortality rates. Endovascular treatment should be reserved for selected cases.

Original languageEnglish
Pages (from-to)42-48
Number of pages7
JournalAnnals of Vascular Surgery
Volume19
Issue number1
DOIs
Publication statusPublished - Jan 2005

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Aneurysm
Arteries
Hepatic Artery
Morbidity
Emergencies
Splenic Artery
Mortality
Postoperative Period
Fistula
Thrombosis
Therapeutics

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Chiesa, R., Astore, D., Guzzo, G., Frigerio, S., Tshomba, Y., Castellano, R., ... Melissano, G. (2005). Visceral artery aneurysms. Annals of Vascular Surgery, 19(1), 42-48. https://doi.org/10.1007/s10016-004-0150-2

Visceral artery aneurysms. / Chiesa, R.; Astore, D.; Guzzo, G.; Frigerio, S.; Tshomba, Y.; Castellano, R.; Liberato De Moura, M. R.; Melissano, G.

In: Annals of Vascular Surgery, Vol. 19, No. 1, 01.2005, p. 42-48.

Research output: Contribution to journalArticle

Chiesa, R, Astore, D, Guzzo, G, Frigerio, S, Tshomba, Y, Castellano, R, Liberato De Moura, MR & Melissano, G 2005, 'Visceral artery aneurysms', Annals of Vascular Surgery, vol. 19, no. 1, pp. 42-48. https://doi.org/10.1007/s10016-004-0150-2
Chiesa R, Astore D, Guzzo G, Frigerio S, Tshomba Y, Castellano R et al. Visceral artery aneurysms. Annals of Vascular Surgery. 2005 Jan;19(1):42-48. https://doi.org/10.1007/s10016-004-0150-2
Chiesa, R. ; Astore, D. ; Guzzo, G. ; Frigerio, S. ; Tshomba, Y. ; Castellano, R. ; Liberato De Moura, M. R. ; Melissano, G. / Visceral artery aneurysms. In: Annals of Vascular Surgery. 2005 ; Vol. 19, No. 1. pp. 42-48.
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