Division of Vascular and Endovascular Surgery, Department of Surgery, University of California, San Diego, La Jolla, CA; Division of Vascular and Endovascular Surgery, Kaiser Permanente San Diego.
Division of Vascular and Interventional Radiology, Kaiser Permanente San Diego.
Ann Vasc Surg. 2021 May;73:554-556. doi: 10.1016/j.avsg.2020.12.051. Epub 2021 Feb 5.
Given the rarity of splenic vein aneurysms, it is no surprise that there are little data to help guide clinicians regarding indications and techniques for repair. Traditionally associated with hepatobiliary pathology including portal hypertension and pancreatitis, management typically involved open splenectomy. We describe the case of a patient with an incidentally found enlarging splenic vein aneurysm in the absence of significant past medical history. The patient underwent successful repair of the aneurysm utilizing a transhepatic endovascular approach with a balloon expandable stent. We offer this as minimally invasive solution allowing splenic salvage.
鉴于脾静脉动脉瘤的罕见性，临床医生在指导指示和修复技术方面几乎没有数据并不奇怪。传统上与肝胆病理相关，包括门脉高压和胰腺炎，治疗通常涉及开放性脾切除术。我们描述了一例患者，其在无明显既往病史的情况下偶然发现脾静脉动脉瘤增大。患者成功地通过经肝血管内球囊扩张支架治疗修复了动脉瘤。我们提供了这种微创解决方案，允许保留脾脏。
