Management of huge splenic artery aneurysm with new hybrid procedure including endovascular and open surgical approach: Case series

Salimi, Javad; Foroutani, Laleh; Yazdi, Seyed Amir Miratashi

doi:10.1016/j.ijscr.2021.106585

Cited by 6 publications

(2 citation statements)

References 17 publications

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“…However, endovascular treatment is difficult to perform when there is vascular tortuosity or when there is a risk of impaired blood flow to the peripheral organs. In splenic artery aneurysms, endovascular treatment is often the first choice because of its superior perioperative mortality and short-term results; however, surgery is performed when endovascular treatment is considered difficult [ 15 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

Robotic resection for splenic artery aneurysm associated with neurofibromatosis type 1: a case report

Ueda,

Saito,

Murase

et al. 2024

J Med Case Reports

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Background Neurofibromatosis type 1 is an autosomal-dominant disease characterized by café-au-lait spots and neurofibromas, as well as various other symptoms in the bones, eyes, and nervous system. Due to its connection with vascular fragility, neurofibromatosis type 1 has been reported to be associated with vascular lesions, such as aneurysms. However, there have been few reports of abdominal visceral aneurysms associated with neurofibromatosis type 1. Furthermore, there have been no reports of robotic treatment of aneurysms associated with neurofibromatosis type 1. In this report, we describe the case of a patient with neurofibromatosis type 1 with a splenic artery aneurysm who was successfully treated with robotic surgery. Case presentation This report describes a 41-year-old Asian woman with a history of neurofibromatosis type 1 who was referred to our hospital for evaluation of a 28 mm splenic artery aneurysm observed on abdominal ultrasound. The aneurysm was in the splenic hilum, and transcatheter arterial embolization was attempted; however, this was difficult due to the tortuosity of the splenic artery. Thus, we suggested minimally invasive robotic surgery for treatment and resection of the splenic artery aneurysm with preservation of the spleen. The postoperative course was uneventful, and the patient was discharged on the eighth day after surgery. At 1 year of follow-up, the patient was doing well, with no evidence of recurrence. Conclusion We encountered a rare case of splenic artery aneurysm in a patient with neurofibromatosis type 1 who was successfully treated with robotic surgery. There is no consensus on treatment modalities for neurofibromatosis-related aneurysms, and endovascular treatment is considered safe and effective; however, surgery remains an important treatment modality. Especially in patients with stable hemodynamic status, robotic surgery may be considered as definitive treatment. To our knowledge, this is the first successfully treated case of a splenic artery aneurysm in a patient with neurofibromatosis type 1.

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Section: Discussionmentioning

confidence: 99%

Robotic resection for splenic artery aneurysm associated with neurofibromatosis type 1: a case report

Ueda,

Saito,

Murase

et al. 2024

J Med Case Reports

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show abstract

“…Hybrid management of splenic artery aneurysms has been performed with balloon occlusion of the inflow vessel and subsequent laparotomy for resection of the aneurysm. 7 The case series by Salimi et al has used balloon occlusion as an adjunct for the surgical resection of the aneurysm to assist with safety for tortuous aneurysms. 8 The same case series also showed splenic preservation with the aneurysmectomy.…”

Section: Discussionmentioning

confidence: 99%

Hybrid Approach for Treatment of a Symptomatic Giant Splenic Artery Aneurysm

Connors

Allen

Snyder

et al. 2023

Vasc Endovascular Surg

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A 56-year-old female presented with a symptomatic giant fusiform mid-splenic artery aneurysm (7.3 x 6.4 cm). The patient underwent hybrid management of the aneurysm with endovascular embolization of the aneurysm and inflow splenic artery followed by laparoscopic splenectomy with control and division of the outflow vessels. The patient had an uneventful post-operative course. This case demonstrates the safety and efficacy of an innovative, hybrid management of a giant splenic artery aneurysm with endovascular embolization and laparoscopic splenectomy that spares the pancreatic tail.

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Emergent method for management of splenic artery aneurysms rupture: A case report

Salimi,

Nikraftar,

Rashidi

et al. 2024

International Journal of Surgery Case Reports

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Management of huge splenic artery aneurysm with new hybrid procedure including endovascular and open surgical approach: Case series

Cited by 6 publications

References 17 publications

Robotic resection for splenic artery aneurysm associated with neurofibromatosis type 1: a case report

Robotic resection for splenic artery aneurysm associated with neurofibromatosis type 1: a case report

Hybrid Approach for Treatment of a Symptomatic Giant Splenic Artery Aneurysm

Emergent method for management of splenic artery aneurysms rupture: A case report

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