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- Title
Successful hybrid treatment for huge visceral artery aneurysms with contained rupture complicating segmental arterial mediolysis.
- Authors
Yasutoshi Kimura; Toshiro Ito; Masafumi Imamura; Koichi Hirata
- Abstract
Segmental arterial mediolysis (SAM) is a rare arteriopathy that can cause acute abdomen. This report describes the case of a 31-year old male suffering from huge visceral aneurysms with contained rupture. We established a treatment strategy using a hybrid procedure that consisted of endovascular and surgical techniques for these splenic, common hepatic artery and coeliac axis aneurysms related to SAM. The patient was successfully treated with aorto-superior mesenteric artery bypass followed by endovascular aortic stent grafting to interrupt inflow to coeliac aneurysms, and distal splenopancreatectomy with en bloc resection of those aneurysms. We conclude that this hybrid procedure consisting of endovascular and surgical techniques is useful and is a safe treatment option for SAM-related visceral aneurysms.
- Publication
Interactive Cardiovascular & Thoracic Surgery, 2015, Vol 21, Issue 6, p814
- ISSN
1569-9293
- Publication type
Article
- DOI
10.1093/icvts/ivv249