The Current Management of Visceral Artery Aneurysms

Author(s):  
Bara Zuhaili ◽  
James H. Black
Surgery Today ◽  
2019 ◽  
Vol 50 (1) ◽  
pp. 38-49 ◽  
Author(s):  
Hideaki Obara ◽  
Matsubara Kentaro ◽  
Masanori Inoue ◽  
Yuko Kitagawa

Abstract Visceral artery aneurysms (VAAs) are rare and affect the celiac artery, superior mesenteric artery, and inferior mesenteric artery, and their branches. The natural history of VAAs is not well understood as they are often asymptomatic and found incidentally; however, they carry a risk of rupture that can result in death from hemorrhage in the peritoneal cavity, retroperitoneal space, or gastrointestinal tract. Recent advances in imaging technology and its availability allow us to diagnose all types of VAA. VAAs can be treated by open surgery, laparoscopic surgery, endovascular therapy, or a hybrid approach. However, there are still no specific indications for the treatment of VAAs, and the best strategy depends on the anatomical location of the aneurysm as well as the clinical presentation of the patient. This article reviews the literature on the etiology, clinical features, diagnosis, and anatomic characteristics of each type of VAA and discusses the current options for their treatment and management.


Surgery ◽  
1996 ◽  
Vol 120 (4) ◽  
pp. 627-634 ◽  
Author(s):  
Sandra C. Carr ◽  
William H. Pearce ◽  
Robert L. Vogelzang ◽  
Walter J. McCarthy ◽  
Albert A. Nemcek ◽  
...  

Surgery Today ◽  
2020 ◽  
Vol 50 (3) ◽  
pp. 320-320
Author(s):  
Hideaki Obara ◽  
Matsubara Kentaro ◽  
Masanori Inoue ◽  
Yuko Kitagawa

The article Current management strategies for visceral artery aneurysms


Chirurgia ◽  
2020 ◽  
Vol 33 (1) ◽  
Author(s):  
Baker M. Ghoniem ◽  
Ahmed A. Shaker ◽  
Mahmoud Nasser ◽  
Amr Gad

2017 ◽  
Vol 10 ◽  
pp. 117955221771143 ◽  
Author(s):  
Catherine Linzay ◽  
Abhishek Seth ◽  
Kunal Suryawala ◽  
Ankur Sheth ◽  
Moheb Boktor ◽  
...  

Background: Hepatic artery aneurysms (HAAs) constitute 14% to 20% of visceral artery aneurysms. Most HAAs are asymptomatic. Although rare, obstructive jaundice due to external bile duct compression or rupture of the HAA into the biliary tree with occlusion of the lumen from blood clots has been reported. Case presentation: A 56-year-old white man presented to an outside hospital with symptoms of obstructive jaundice, including abdominal pain and yellowing of the skin. Imaging showed a large HAA. Patient was transferred to our hospital where an endoscopic retrograde cholangiopancreatography with biliary stenting was performed. This was followed by coil embolization of the HAA with improvement in symptoms and liver chemistries. Conclusions: Most clinicians agree that management of HAA is highly variable and depends on clinical presentation and anatomic location. Biliary stenting provides temporary relief for patients with obstructive jaundice. Definitive options include open aneurysmal repair versus endovascular therapy. Hepatic artery aneurysms represent a significant risk for hemorrhage and therefore must be addressed promptly once discovered.


2010 ◽  
Vol 51 (4) ◽  
pp. 1071
Author(s):  
Grant T. Fankhauser ◽  
William M. Stone ◽  
Sailendra G. Naidu ◽  
Gustavo S. Oderich ◽  
Joseph J. Ricotta ◽  
...  

1977 ◽  
Vol 133 (5) ◽  
pp. 636-639 ◽  
Author(s):  
Cornelius Olcott ◽  
William K. Ehrenfeld

2011 ◽  
pp. 521-527 ◽  
Author(s):  
Todd D. Reil ◽  
Alexander Gevorgyan ◽  
Juan Carlos Jimenez ◽  
Samuel S. Ahn

2008 ◽  
Vol 191 (3) ◽  
pp. 826-833 ◽  
Author(s):  
Qi Liu ◽  
Jian Ping Lu ◽  
Fei Wang ◽  
Li Wang ◽  
Ai Guo Jin ◽  
...  

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