Hosn Maen Aboul, Xu Jun, Sharafuddin Mel, Corson John D
Department of Surgery, Division of Vascular Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
Department of Surgery, the University of New Mexico, Albuquerque, New Mexico.
Int J Angiol. 2019 Mar;28(1):11-16. doi: 10.1055/s-0038-1676958. Epub 2019 Jan 8.
The abdominal viscera blood supply is derived from anterior branches of the abdominal aorta. Visceral artery aneurysms (VAAs) include aneurysms of the following arteries and their branches: the celiac artery, the hepatic artery, the splenic artery, the superior mesenteric artery, the inferior mesenteric artery, the pancreaticoduodenal artery, and the gastroduodenal artery. Overall VAAs comprise < 2% of all types of arterial aneurysms. Asymptomatic VAAs are now being encountered more frequently due to the widespread use of advanced diagnostic abdominal imaging. The incidental finding of a VAA frequently leaves clinicians with a dilemma as to the best course of management. The focus of this review is on current treatment options and management guidelines for both symptomatic and asymptomatic VAAs.
腹部脏器的血液供应来自腹主动脉的前分支。内脏动脉瘤（VAA）包括以下动脉及其分支的动脉瘤：腹腔干、肝动脉、脾动脉、肠系膜上动脉、肠系膜下动脉、胰十二指肠动脉和胃十二指肠动脉。总体而言，内脏动脉瘤占所有类型动脉动脉瘤的比例不到2%。由于先进的腹部诊断成像技术的广泛应用，无症状内脏动脉瘤的发现越来越频繁。内脏动脉瘤的偶然发现常常使临床医生在最佳治疗方案上陷入两难境地。本综述的重点是有症状和无症状内脏动脉瘤的当前治疗选择和管理指南。
