An Institutional Review of Splenic Artery Aneurysm in Childbearing-Aged Females and Splenic Artery Aneurysm Rupture During Pregnancy. Is Screening Justified?

McMahon, Daniel; Ward, William H.; Harwood, Jared L.; Moore, E. Whitney G.

doi:10.7205/milmed-d-11-00252

Cited by 31 publications

(27 citation statements)

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“…Le risque de rupture spontanée d'un AAS est de 3 % à 9 % dans la population générale et il est plus élevé chez les femmes (entre 20 % et 50 %) [3]. Durant le premier trimestre, bien que la grossesse extra-utérine soit la cause la plus fréquente d'hémopéritoine, une rupture d'AAS doit être évoquée devant un hémopéritoine sans masse latéro-utérine bien individualisée [4][5][6].…”

Section: éPidémiologieunclassified

Anévrysme de l’artère splénique et grossesse : revue de la littérature

et al. 2015

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Section: éPidémiologieunclassified

Anévrysme de l’artère splénique et grossesse : revue de la littérature

et al. 2015

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“…17 Given a prevalence of SAA of less than 0.1%, routine radiologic screening of all women of childbearing age has not been recommended. 18 However, if an SAA is detected in an asymptomatic patient, elective repair via endovascular stent graft, embolization, or ligation is recommended in the settings of pregnancy and/or size Ͼ 2 cm. 3,4 When these approaches fail, laparoscopic aneurysm resection with splenectomy has been successful, even when performed as late as the third trimester of pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Ruptured Splenic Artery Aneurysm in Pregnancy: a Case Series

Garey

Greenberger

Werman

2014

Air Medical Journal

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“…21 In order to mitigate the risk of maternal or fetal death after rupture, physicians must be aware that an SAA is a potential source of acute abdominal pains in pregnant women. 29 Other aneurysms with large numbers of reports of rupture during pregnancy include those of the aorta, and cerebral, renal, coronary, and ovarian arteries. 8 Multiparity appears to influence the incidence of SAA in women, since it is four times more common among multiparous women.…”

Section: Etiology and Histologymentioning

confidence: 99%

Aneurismas de artéria esplênica: história natural e técnicas de tratamento

Mariúba¹

2020

J. vasc. bras.

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True splenic artery aneurysms (SAA) are a rare, but potentially fatal, pathology. They are the third most common type of abdominal aneurysm, after aneurysms of the aorta and of the iliac artery, and account for almost the all aneurysms of visceral arteries. True aneurysms account for 60% of SAA and affect four times as many women as men, generally related to increased incidental or symptomatic findings that coincide with use of ultrasonography in pregnancy. Among pregnant patients, mortality after rupture is 65-75%, with fetal mortality exceeding 90%. There are multiple etiologies and it is believed that hormonal influences and changes in portal flow during gestation play an important role in development of SAA. This review discusses their history, epidemiology, pathophysiology, and diagnosis and current treatment techniques. ResumoAneurismas da artéria esplênica (AAE) verdadeiros são uma patologia rara, mas potencialmente fatal. São o terceiro aneurisma abdominal mais comum, após aneurismas da aorta e da artéria ilíaca, e representam quase todos os aneurismas de artérias viscerais. Os aneurismas verdadeiros são responsáveis por 60% dos AAEs e afetam as mulheres quatro vezes mais do que os homens, geralmente relacionados a uma descoberta incidental ou sintomática aumentada que coincide com o uso da ultrassonografia na gravidez. Em pacientes grávidas, a mortalidade, após a ruptura, é de 65-75%, com mais de 90% de mortalidade fetal. Têm múltiplas etiologias, e acredita-se que as influências hormonais e as alterações do fluxo portal durante a gestação desempenhem um papel importante no desenvolvimento do AAE. Esta revisão discorrerá sobre sua história, epidemiologia, fisiopatologia, diagnóstico, e as técnicas atuais de tratamento. Palavras-chave: aneurisma; artéria esplênica; procedimentos endovasculares. How to cite: Mariúba JVO. Splenic aneurysms: natural history and treatment techniques. J Vasc Bras. 2020;19:e20190058.

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An Institutional Review of Splenic Artery Aneurysm in Childbearing-Aged Females and Splenic Artery Aneurysm Rupture During Pregnancy. Is Screening Justified?

Cited by 31 publications

References 0 publications

Anévrysme de l’artère splénique et grossesse : revue de la littérature

Anévrysme de l’artère splénique et grossesse : revue de la littérature

Ruptured Splenic Artery Aneurysm in Pregnancy: a Case Series

Aneurismas de artéria esplênica: história natural e técnicas de tratamento

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