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Year :2016
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Month :
July-August
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Volume :
5
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Issue :
3
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Page :
-
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Splenic Artery Aneurysms: Review of Pathogenesis, Diagnosis and Treatment and Presentation of Open Repaired Case
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Correspondence Address :
Leszek Sulkowski, Miroslaw Szura, Artur Pasternak, Maciej Matyja, Andrzej Matyja,
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Introduction: Splenic Artery Aneurysm (SAA) is the most common visceral artery aneurysm (60%). It remains asymptomatic in over 95% of patients. SAA occurs predominantly in women of child-bearing age. Multi-slice SC angiography can accurately and clearly display the location of the SAA. Different management strategies can be applied: open surgery, endovascular approach and laparoscopy. We present the case of a 30-year-old female with a history of breast cancer T1cN0M0. Contrast-enhanced computed tomography scanning showed a 28mm true aneurysm of the splenic artery. Due to unfavourable anatomy for the endovascular intervention (elongated and tortuous splenic artery) the patient underwent open surgery. The aneurysm was excised and the splenic artery was reconstructed with end-to-end anastomosis. The patient was discharged from the hospital without any complication after 3 days.
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