Embolization of multiple splenic artery aneurysms in a patient with hypersplenism due to portal hypertension: a case report.

IF 0.8 Q4 PERIPHERAL VASCULAR DISEASE Jornal Vascular Brasileiro Pub Date : 2024-08-09 eCollection Date: 2024-01-01 DOI:10.1590/1677-5449.202301392
Lucas Victoy Guimarães Zengo, Maria Vitoria Bandeira Liebich, Larissa Rossi, Giuliana Rossato Biezus, Jeferson Freitas Toregeani, Jong Hun Park
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Abstract

Aneurysms of the splenic artery are the third most common type of intra-abdominal aneurysms and the most common type of visceral aneurysms. Portal hypertension is a significant risk factor for development of these aneurysms. We report the case of a white, female, 52-year-old patient with multiple splenic artery aneurysms and hypersplenism secondary to portal hypertension and cirrhosis. Abdominal angiotomography identified six splenic aneurysms. In this scenario, an endovascular intervention was scheduled to conduct embolization using controlled release coils and Onyx™ embolization agent. The three largest aneurysms were treated. Control angiographs showed good exclusion of the aneurysms. The endovascular technique therefore proved to be a good choice considering the patient's comorbidities and blood disorders. In this case, the procedure was successful. There were no immediate or long-term complications. The patient recovered well and is in clinical follow-up.

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门静脉高压症脾功能亢进患者的多发性脾动脉瘤栓塞术:病例报告。
脾动脉瘤是第三种最常见的腹内动脉瘤,也是最常见的内脏动脉瘤。门静脉高压是这类动脉瘤发病的重要危险因素。我们报告了一例 52 岁的白人女性患者,她患有多发性脾动脉瘤和脾功能亢进,继发于门静脉高压症和肝硬化。腹部血管造影发现了六个脾动脉瘤。在这种情况下,安排了一次血管内介入治疗,使用控释线圈和Onyx™栓塞剂进行栓塞。三个最大的动脉瘤得到了治疗。对照血管造影显示动脉瘤排除良好。因此,考虑到患者的合并症和血液疾病,血管内技术被证明是一个不错的选择。在这个病例中,手术非常成功。没有出现即刻或长期并发症。患者恢复良好,目前正在接受临床随访。
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来源期刊
Jornal Vascular Brasileiro
Jornal Vascular Brasileiro Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.20
自引率
0.00%
发文量
57
审稿时长
20 weeks
期刊介绍: The Jornal Vascular Brasileiro is editated and published quaterly to select and disseminate high-quality scientific contents concerning original research, novel surgical and diagnostic techniques, and clinical observations in the field of vascular surgery, angiology, and endovascular surgery. Its abbreviated title is J. Vasc. Bras., which should be used in bibliographies, footnotes and bibliographical references and strips.
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