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  • Title: Visceral artery aneurysms as seen in a community hospital.
    Author: Carmeci C, McClenathan J.
    Journal: Am J Surg; 2000 Jun; 179(6):486-9. PubMed ID: 11004337.
    Abstract:
    BACKGROUND: Visceral artery aneurysm (VAA) is a rare but important form of vascular pathology. METHODS: A retrospective chart review was performed for all patients treated for VAAs from 1980 to 1998 at the Northern California Kaiser Hospitals. RESULTS: Thirty-one patients with VAAs were treated, 11 men and 20 women with an average age of 60 years. The arteries involved were 15 splenic, 8 hepatic, 5 superior mesenteric branch, 1 left gastric, 1 gastroduodenal, and 1 left colic. Seventy-four percent of patients presented with acute abdominal pain and/or shock secondary to aneurysm rupture. Angioembolization was performed in 9, and 25 were treated surgically. There was no morbidity, and 1 death (3.2%). CONCLUSIONS: Patients with VAAs often present to the community hospital general surgeon as acute abdominal emergencies. Symptomatic VAAs can be managed successfully by simple ligation in the primary care setting.
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