破裂性巨大脾动脉瘤的急诊血管内栓塞治疗

Wernheden Erika, Brenøe Anne-Sofie, Shahidi Saeid

Department of Vascular Surgery, Slagelse Hospital, Slagelse, Denmark.

Department of Radiology, Odense University Hospital, Odense, Denmark.

J Vasc Surg Cases Innov Tech. 2017 Dec 18;3(4):240-242. doi: 10.1016/j.jvscit.2017.10.008. eCollection 2017 Dec.

Splenic artery aneurysms (SAAs) are the third most common abdominal aneurysm. Endovascular treatment of SAAs is preferred, and coiling is the most commonly used technique. Ruptured giant (>5 cm) SAAs are usually treated with open surgery including splenectomy. We present a rare case of a ruptured 15-cm giant SAA in an 84-year-old woman treated successfully with emergency endovascular coiling. To our knowledge, this is one of the few reports of emergency endovascular treatment for ruptured giant SAA.

脾动脉瘤（SAA）是第三常见的腹主动脉瘤。SAA的血管内治疗是首选，而弹簧圈栓塞是最常用的技术。破裂的巨大（>5cm）SAA通常采用包括脾切除术在内的开放手术治疗。我们报告了一例罕见的病例，一名84岁女性的15cm巨大SAA破裂，通过急诊血管内弹簧圈栓塞成功治疗。据我们所知，这是为数不多的关于破裂巨大SAA急诊血管内治疗的报道之一。