Visceral artery aneurysms: an institutional review

Methods: It is a retrospective review of prospectively kept data of patients treated for visceral artery aneurysms in Tribhuvan University Teaching Hospital and Manmohan Cardiothoracic Vascular and Transplant Center from 1997 to 2009. Results: Fifteen patients were diagnosed with 16 visceral arter...

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Autores principales:	Rajan Sapkota, B Ghimire, PJ Lakhey, R K Ghimire, U K Shrestha
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2017
Materias:	Splenic artery aneurysm Transcatheter embolization Visceral artery aneurysms Surgery RD1-811
Acceso en línea:	https://doaj.org/article/23e7aeba571f413c9ede0ff77e4047c0
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spelling	oai:doaj.org-article:23e7aeba571f413c9ede0ff77e4047c02021-12-05T19:16:22ZVisceral artery aneurysms: an institutional review10.3126/jssn.v17i2.171401815-39842392-4772https://doaj.org/article/23e7aeba571f413c9ede0ff77e4047c02017-04-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/17140https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Methods: It is a retrospective review of prospectively kept data of patients treated for visceral artery aneurysms in Tribhuvan University Teaching Hospital and Manmohan Cardiothoracic Vascular and Transplant Center from 1997 to 2009. Results: Fifteen patients were diagnosed with 16 visceral artery aneurysms. These consisted of 7 splenic (in 6 patients), 4 hepatic, 2 superior mesenteric, 1 gastroduodenal, and 1 renal artery aneurysms. There were 14 symptomatic patients including 4 who presented with rupture. Commonest presenting symptom was pain abdomen (14/15), followed by gastrointestinal bleed (6/15) and mass abdomen (5/15). The diagnosis was made with the help of CECT of abdomen in 13 patients, which was confirmed by conventional angiography in three patients. In two patients with obscure GI bleeding, diagnosis was clinched by conventional angiogram. Eight patients were treated only surgically, with three mortality. Transcatheter embolization alone was used in 5 patients. Two patients were treated with combination of surgical and endovascular therapy. One patient with superior mesenteric artery aneurysm in whom nothing could be done during laparotomy died six months later. Average follow up duration was one year. Conclusion: Splenic artery remains the most commonly afflicted vessel among the visceral artery aneurysms. The VAAs can be treated surgically or with endovascular means with fair success, although the best mode of treatment needs to be individualized. Journal of Society of Surgeons of Nepal Vol. 17, No. 2, 2014, Page: 3-6 Rajan SapkotaB GhimirePJ LakheyR K GhimireU K ShresthaSociety of Surgeons of NepalarticleSplenic artery aneurysmTranscatheter embolizationVisceral artery aneurysmsSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 17, Iss 2 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Splenic artery aneurysm Transcatheter embolization Visceral artery aneurysms Surgery RD1-811
spellingShingle	Splenic artery aneurysm Transcatheter embolization Visceral artery aneurysms Surgery RD1-811 Rajan Sapkota B Ghimire PJ Lakhey R K Ghimire U K Shrestha Visceral artery aneurysms: an institutional review
description	Methods: It is a retrospective review of prospectively kept data of patients treated for visceral artery aneurysms in Tribhuvan University Teaching Hospital and Manmohan Cardiothoracic Vascular and Transplant Center from 1997 to 2009. Results: Fifteen patients were diagnosed with 16 visceral artery aneurysms. These consisted of 7 splenic (in 6 patients), 4 hepatic, 2 superior mesenteric, 1 gastroduodenal, and 1 renal artery aneurysms. There were 14 symptomatic patients including 4 who presented with rupture. Commonest presenting symptom was pain abdomen (14/15), followed by gastrointestinal bleed (6/15) and mass abdomen (5/15). The diagnosis was made with the help of CECT of abdomen in 13 patients, which was confirmed by conventional angiography in three patients. In two patients with obscure GI bleeding, diagnosis was clinched by conventional angiogram. Eight patients were treated only surgically, with three mortality. Transcatheter embolization alone was used in 5 patients. Two patients were treated with combination of surgical and endovascular therapy. One patient with superior mesenteric artery aneurysm in whom nothing could be done during laparotomy died six months later. Average follow up duration was one year. Conclusion: Splenic artery remains the most commonly afflicted vessel among the visceral artery aneurysms. The VAAs can be treated surgically or with endovascular means with fair success, although the best mode of treatment needs to be individualized. Journal of Society of Surgeons of Nepal Vol. 17, No. 2, 2014, Page: 3-6
format	article
author	Rajan Sapkota B Ghimire PJ Lakhey R K Ghimire U K Shrestha
author_facet	Rajan Sapkota B Ghimire PJ Lakhey R K Ghimire U K Shrestha
author_sort	Rajan Sapkota
title	Visceral artery aneurysms: an institutional review
title_short	Visceral artery aneurysms: an institutional review
title_full	Visceral artery aneurysms: an institutional review
title_fullStr	Visceral artery aneurysms: an institutional review
title_full_unstemmed	Visceral artery aneurysms: an institutional review
title_sort	visceral artery aneurysms: an institutional review
publisher	Society of Surgeons of Nepal
publishDate	2017
url	https://doaj.org/article/23e7aeba571f413c9ede0ff77e4047c0
work_keys_str_mv	AT rajansapkota visceralarteryaneurysmsaninstitutionalreview AT bghimire visceralarteryaneurysmsaninstitutionalreview AT pjlakhey visceralarteryaneurysmsaninstitutionalreview AT rkghimire visceralarteryaneurysmsaninstitutionalreview AT ukshrestha visceralarteryaneurysmsaninstitutionalreview
_version_	1718371051438604288

Visceral artery aneurysms: an institutional review

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