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A Journal on Angiology

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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International Angiology 2008 April;27(2):166-9

language: English

Postoperative hepatic artery aneurysms development and remodeling in Ehlers-Danlos syndrome type IV. Case report

Musumeci A. 1, Minervini M. I. 2, Cintorino D. 2, Gruttadauria S. 2, Pipitone L. 2, Alzetta M. 1, Giovinetto A. 3

1 Emergency Medicine Department, S. Maria degli Angeli General Hospital, Pordenone, Italy
2 ISMETT (Istituto Mediterraneo Trapianti e Terapie ad Alta Specializzazione), Palermo, Italy
3 General Surgery Department, V. Emanuele General Hospital, Catania, Italy


Patients affected by Ehlers-Danlos syndrome (EDS) type IV are at risk for aneurysm formation and rupture. This case report shows the extreme vascular fragility of these patients. We studied a 31-year-old man that developed hepatic artery aneurysms 3 weeks after splenectomy. Computed tomography angiography showed the extreme vascular remodeling of the aneurysms. We conclude that remote site complications should be kept in mind by all surgeons in vascular EDS patients even after general surgery operations.

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