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[Splanchnic aneurysms: 10 treated cases and review of the literature]

BONARDELLI, Stefano;TIBERIO, Guido Alberto Massimo;CONIGLIO, Arianna;POUCHE', Antonio;GIULINI, Stefano Maria
1998-01-01
1998
Ateneo di appartenenza
LS7_7 Surgery
LS7_6 Gene therapy, stem cell therapy, regenerative medicine
ANNALI ITALIANI DI CHIRURGIA
2-s2.0-0032081131
Italiano
69
325
330
5
9835104
The splanchnic aneurysms, which are complicated by rupture in 25% of cases with a mortality of 25-70%, are usually a surprise during diagnostic tests for other abdominal pathologies or emergency laparotomies. 10 cases treated (8 in elective and 2 in emergency surgery) are presented here: the aneurysm was in celiac trunk (1 patient), common hepatic artery (1 pt.), hepatic artery (2 pts.), gastroduodenal artery (1 pt.), superior mesenteric artery (1 pt.), inferior pancreaticoduodenal artery (1 pt.), right colic artery (1 pt.) and inferior mesenteric artery (1 pt.). There were 1 case of Marfan syndrome and 9 cases of atherosclerosis, 4 of which arteries presenting hyperdynamic flow consequent to occlusions of the superior mesenteric artery and/or the celiac trunk. The 2 cases operated on for hemoperitoneum underwent aneurysmectomy and ligation of the inflow vessels (1 death from pulmonary embolism on 5th postoperative day), whereas the 8 cases electively treated (with no deaths and I case of transient diarrhoeal syndrome) underwent 4 aneurysmal resections with end-to-end arterial reconstruction, 3 PTFE-graft substitutions and 1 autologous saphenous vein substitution. At follow-up (12-74 months; mean 30.6) all the reconstructions resulted successful. These data confirm the consistent indications of the recent Literature suggesting the indication to the surgical treatment of the incidental aneurysms in the splanchnic area.
Aged; Aneurysm; Aortic Aneurysm; Abdominal; Carotid Artery Diseases; Carotid Artery; Internal; Celiac Artery; Female; Follow-Up Studies; Hepatic Artery; Humans; Male; Mesenteric Arteries; Mesenteric Artery; Inferior; Superior; Middle Aged; Time Factors
8
info:eu-repo/semantics/article
262
Bonardelli, Stefano; Tiberio, Guido Alberto Massimo; M., Belloni; L. A., Rampinelli; F., Nodari; Coniglio, Arianna; Pouche', Antonio; Giulini, Stefano...espandi
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1.1 Articolo in rivista
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11379/30880
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