TITLE

Characteristics and Management of Splenic Artery Aneurysm in Liver Transplant Candidates and Recipients

AUTHOR(S)
Heestand, Gregory; Sher, Linda; Lightfoote, Johnson; Palmer, Suzanne; Mateo, Rod; Singh, Gagandeep; Moser, Jennifer; Selby, Rick; Genyk, Yuri; Jabbour, Nicolas
PUB. DATE
November 2003
SOURCE
American Surgeon;Nov2003, Vol. 69 Issue 11, p933
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The incidence of splenic artery aneurysm (SAA) in patients with cirrhosis ranges from 7 per cent to 17 per cent. SAA rupture after liver transplantation (LT) is reported to result in significant morbidity and mortality. We report our experience with SAA in LT candidates. From September 1995 through August 2002, 14 LT candidates were diagnosed with SAA. Twenty SAA occurred in 14 patients with an average diameter of 20 mm. Eleven patients qualified for LT; to date, seven have been transplanted. No intervention for SAA occurred prior to LT. Of the seven patients transplanted, four had SAA identified prior to LT. Three were treated at LT and are alive; the fourth had postoperative splenic artery embolization followed by splenectomy and expired on day 109 from duodenal ulcer complications. Three of seven patients had undiagnosed SAA at LT. One required emergency splenectomy for SAA rupture and is alive at 44 months. The remaining two received no treatment; one suffered a late septic death and one is alive at 15 months. No ruptures occurred in our pre-LT population, suggesting that definitive management can await LT. We recommend that all patients undergo four-phase computed tomography or magnetic resonance angiography (MRA) as part of the LT evaluation and that identified SAA be resected at transplantation.
ACCESSION #
11855875

 

Related Articles

  • Multiple peripheral aneurysms of the posterior inferior cerebellar artery: Case report and review of the literature. Jin Li; ZhiGang Lan; Min He; Chao You // Neurology India;Sep2009, Vol. 57 Issue 5, p669 

    Multiple peripheral aneurysms of the posterior inferior cerebellar artery (PICA) are extremely rare. We describe a patient with four distinct aneurysms in the peripheral segments of the left PICA succefully treated surgically with an excellent outcome. Pathological examination of the excised...

  • Endovascular Repair of Abdominal Aortic Aneurysm With Chronic Dissection Using an Intravascular Ultrasound-Guided Reentry Catheter. Kin-Man Lai; Coleman, Patrick // Vascular & Endovascular Surgery;Oct/Nov2008, Vol. 42 Issue 5, p462 

    The incidence of aortic dissection is rare (approximately 10 cases per 1 million inhabitants' year), and reports of an associated aortic dissection within an abdominal aortic aneurysm (AAA) are anecdotal. Historically, such a dissection was treated by operation, but operative risks often...

  • Introduction of Endovascular Embolization for Intracranial Aneurysms in a Low-volume Institution. LINDEKLEIV, H . M.; JACOBSEN, E. A.; KLOSTER, R.; SANDELL, T.; ISAKSEN, J. G.; ROMNER, B.; INGEBRIGTSEN, T.; BAJIC, R. // Acta Radiologica;Jun2009, Vol. 50 Issue 5, p555 

    Background: Studies indicate a relationship between hospital caseload and health outcomes after both surgical and endovascular repair of intracranial aneurysms. Purpose: To evaluate outcomes after introduction of endovascular embolization for intracranial aneurysms in a low-volume regional...

  • Multidetector spiral CT renal angiography in the diagnosis of giant renal artery aneurysms. Sabharwal, Rohan; Vladica, Philip; Law, W.; Lau, Howard; Patel, Manish; Law, W Phillip // Abdominal Imaging;Jan/Feb2007, Vol. 32 Issue 1, p17 

    A case of giant renal artery aneurysm in a 63-year-old man is presented. Renal artery aneurysms are rare (incidence of <1%) and this case is one of the largest giant renal artery aneurysms recorded in the literature. This case also demonstrates the value of multidetector spiral CT renal...

  • Metachronous pulmonary and adrenal metastases after liver transplantation for hepatocarcinoma.  // World Journal of Surgical Oncology;2011, Vol. 9 Issue 1, p156 

    The article presents a case study of a 60-year-old man who underwent surgical management of metachronous pulmonary and adrenal metastases after liver transplantation (LT) for hepatocellular carcinoma (HCC). The patient had a 20-year history of type B hepatitis and hepatic cirrhosis, and was...

  • Giant renal artery aneurysm rupture. Robaldo, Alessandro; Gramondo, Fabrizio; Di Iasio, Giacomo; Pagliari, Stefano; Colotto, Patrizio // Vascular Medicine;Aug2014, Vol. 19 Issue 4, p325 

    The article highlights the case history of a 82-year-old white male with giant renal artery aneurysm rupture. The patient was admitted to the hospital severe left flank pain that radiated to the back and had a history of heart failure, hypertension and hypercholesterolemia. A giant saccular...

  • Renal artery aneurysm: diagnosis and surveillance with multidetector-row computed tomography. Zhang, L. J.; Yang, G. F.; Qi, J.; Shen, W. // Acta Radiologica;Apr2007, Vol. 48 Issue 3, p274 

    Purpose: To investigate the prevalence of renal artery aneurysms, and to assess the value of multidetector-row computed tomography (MDCT) in diagnosing renal artery aneurysms. Material and Methods: Altogether, 862 patients underwent arterial-phase contrast-enhanced CT...

  • Hepatic involvement in hereditary hemorrhagic telangiectasia: CT findings. Memeo, M.; Stabile Ionora, A.A.; Scardapane, A.; Buonamico, P.; SabbĂ , C.; Angelelli, G.; Stabile Ianora, A A; SabbĂ , C // Abdominal Imaging;Mar/Apr2004, Vol. 29 Issue 2, p211 

    Hereditary hemorrhagic telangiectasia (HHT), also known as Rendu-Osler-Weber disease, is an autosomal-dominant vascular disease characterized by mucocutaneous or visceral angiodysplastic lesions (telangiectases and arteriovenous malformations) that may be widely distributed throughout the...

  • Intracranial aneurysms in an African country. Ogeng'o, Julius A.; Otieno, Beda O.; Kilonzi, Justus; Sinkeet, Simeon R.; Muthoka, Johnstone M. // Neurology India;Sep2009, Vol. 57 Issue 5, p613 

    Background: Characteristics of intracranial aneurysms display ethnic variations. Data on this disease from the African continent is scarce and often conflicting. Aim: To describe site, age and gender distribution of intracranial aneurysms among Kenyans. Study Design and Setting: Retrospective...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics