Articles producció científica> Medicina i Cirurgia

Visceral Artery Aneurysms: A Complex Unresolved Issue

  • Dades identificatives

    Identificador: imarina:5131371
    Autors:
    Areafi, B.Perea-Ribis, M.Gómez, B.Rodríguez, N.Hernandez, P.Camps, C.Joven, J.Hernandez-Aguilera, A.Martín-Paredero, V
    Resum:
    Aims: The lack of prospective studies on abdominal non-aortic true or false aneurysms results in insufficient data to predict their natural history and propose a treatment of choice. The experience provided by case reports is important to discuss their management and prevention. This is relevant because abnormal enlargements in superior mesenteric artery are relatively uncommon but associated with specific symptoms and a high incidence of rupture and/or ischemic bowel complications. Presentation of Case: Open surgery was preferred in a giant true aneurysm with an associated arteriovenous fistula, due to the likely need for revascularization and probable lack of stability for a stent graft. Contrarily in a pseudoaneurysm with a similar size we performed coil embolization. Incidentally, this procedure required a subsequent deployment of a covered stent graft to resolve bleeding. Discussion: We discuss the outcomes of true and false aneurysms in the superior mesenteric artery, which required urgent treatment due to their high diameter. Their extremely large size also suggests a protracted course and a considerable period of time without proper surveillance through imaging techniques. Endovascular techniques seem to be favored in the elective setting and open surgery in the emergent setting but the challenge for the vascular surgeon to choose a treatment is considerable. Patient¿s clinical state, perceived risk of rupture, the size of the lesion and expected quality of life conditioned the choice. Conclusion: The described cases illustrate the urgent requirement of treatment guidelines and/or screening programs to detect abdominal non-aortic aneurysms at an early stage.
  • Altres:

    Autor segons l'article: Areafi, B.; Perea-Ribis, M.; Gómez, B.; Rodríguez, N.; Hernandez, P.; Camps, C.; Joven, J.; Hernandez-Aguilera, A.; Martín-Paredero, V
    Departament: Medicina i Cirurgia
    Autor/s de la URV: Arefai Refai, Bahaa / Camps Andreu, Jorge / Gómez Moya, Benet / Joven Maried, Jorge / Martín Paredero, Vicente
    Resum: Aims: The lack of prospective studies on abdominal non-aortic true or false aneurysms results in insufficient data to predict their natural history and propose a treatment of choice. The experience provided by case reports is important to discuss their management and prevention. This is relevant because abnormal enlargements in superior mesenteric artery are relatively uncommon but associated with specific symptoms and a high incidence of rupture and/or ischemic bowel complications. Presentation of Case: Open surgery was preferred in a giant true aneurysm with an associated arteriovenous fistula, due to the likely need for revascularization and probable lack of stability for a stent graft. Contrarily in a pseudoaneurysm with a similar size we performed coil embolization. Incidentally, this procedure required a subsequent deployment of a covered stent graft to resolve bleeding. Discussion: We discuss the outcomes of true and false aneurysms in the superior mesenteric artery, which required urgent treatment due to their high diameter. Their extremely large size also suggests a protracted course and a considerable period of time without proper surveillance through imaging techniques. Endovascular techniques seem to be favored in the elective setting and open surgery in the emergent setting but the challenge for the vascular surgeon to choose a treatment is considerable. Patient¿s clinical state, perceived risk of rupture, the size of the lesion and expected quality of life conditioned the choice. Conclusion: The described cases illustrate the urgent requirement of treatment guidelines and/or screening programs to detect abdominal non-aortic aneurysms at an early stage.
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    Adreça de correu electrònic de l'autor: bahaa.arefai@estudiants.urv.cat jorge.joven@urv.cat jorge.camps@urv.cat vicente.martin@urv.cat benet.gomez@urv.cat
    Identificador de l'autor: 0000-0003-2749-4541 0000-0002-3165-3640 0000-0002-2740-5847
    Data d'alta del registre: 2024-04-13
    Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
    Enllaç font original: https://journalijmpcr.com/index.php/IJMPCR/article/view/158
    Referència a l'article segons font original: International Journal Of Medical And Pharmaceutical Case Reports . 5 (1): 1-7
    Referència de l'ítem segons les normes APA: Areafi, B.; Perea-Ribis, M.; Gómez, B.; Rodríguez, N.; Hernandez, P.; Camps, C.; Joven, J.; Hernandez-Aguilera, A.; Martín-Paredero, V (2015). Visceral Artery Aneurysms: A Complex Unresolved Issue. International Journal Of Medical And Pharmaceutical Case Reports , 5(1), 1-7. DOI: 10.9734/IJMPCR/2015/19030
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    DOI de l'article: 10.9734/IJMPCR/2015/19030
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2015
    Tipus de publicació: Journal Publications