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Giornale Italiano di Chirurgia Vascolare 1999 September;6(3):199-204

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English, Italian

Flattening of a splenic artery aneurysm associated with revascularisation of the spleen

Veroux P., Bonanno M. G., Veroux M., Nicosia A., Romeo S.

From the Chair of Vascular Surgery University of Catania, Italy


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Splenic ­artery aneu­rysms are the ­most fre­quent­ly report­ed ­form affect­ing the splen­ic dis­trict. A high­er inci­dence is ­present in plu­ri­pa­ras and ­patients suf­fer­ing ­from por­tal hyper­ten­sion. Surgery con­sists of the exci­sion of the aneu­rysm accom­pa­nied by sple­nec­to­my in the major­ity of cas­es. The ­authors ­report a ­case of the flat­ten­ing of a 3-cm splen­ic ­artery aneu­rysm and the sub­se­quent ­direct recon­struc­tion of arte­ri­al con­ti­nu­ity. They ­affirm ­that it is pref­er­able to con­serve the ­spleen ­owing to its impor­tant ­immune func­tions. Arterial recon­struc­tion may be safe­ly accom­plished in the ­event of ­marked tor­tu­os­ity of the splen­ic ­artery. Control ­colour Doppler ultra­so­nog­ra­phy at 40 ­months con­firmed the paten­cy of the splen­ic ­artery and the mor­phol­o­gy of the ­spleen was nor­mal.

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