Mandolfino Tommaso, Canciglia Aldo, D'Alfonso Mario
Sezione di Chirurgia Vascolare, Dipartimento di Chirurgia Generale, Università degli Studi di Messina.
Chir Ital. 2009 May-Jun;61(3):315-9.
Splenic artery aneurysms, although rare, are the most common visceral artery aneurysms with a high risk of rupture. The purpose of this retrospective study was to analyse our experience with such aneurysms. Eight patients (6 women, 2 men; mean age: 60.2 years; range: 33-76 years) with a diagnoses of splenic artery aneurysm were reviewed. Six patients were asymptomatic and two had chronic pancreatitis with left flank pain. The condition was diagnosed by ultrasonography and computed tomography. Five patients underwent surgery, two requiring splenectomy, and three patients were treated by embolisation. There were no postoperative deaths. Follow-up data were available for 7 patients, the mean follow-up period being 60 months (range: 2-72 months). Although open surgical repair remains the gold standard, endovascular techniques may, in selected cases, offer a viable alternative in high-risk patients with significant co-morbid conditions.
脾动脉瘤虽然罕见，但却是最常见的内脏动脉瘤，破裂风险很高。这项回顾性研究的目的是分析我们处理此类动脉瘤的经验。对8例诊断为脾动脉瘤的患者（6例女性，2例男性；平均年龄：60.2岁；范围：33 - 76岁）进行了回顾。6例患者无症状，2例患有慢性胰腺炎并伴有左侧胁腹疼痛。通过超声检查和计算机断层扫描确诊病情。5例患者接受了手术，其中2例需要行脾切除术，3例患者接受了栓塞治疗。无术后死亡病例。7例患者有随访数据，平均随访期为60个月（范围：2 - 72个月）。尽管开放手术修复仍是金标准，但在某些情况下，血管内技术对于有严重合并症的高危患者可能是一种可行的替代方法。
