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Case Reports in Radiology
Volume 2012 (2012), Article ID 652469, 4 pages
http://dx.doi.org/10.1155/2012/652469
Case Report

Transcatheter Embolization for Giant Splenic Artery Aneurisms: Still an Open Question

1Unit of Liver Transplantation, Department of Digestive Disease and Internal Medicine, 40138 Sant'Orsola-Malpighi, Italy
2Department of Emergency/Urgency, General Surgery and Transplantation, 40138 Sant’Orsola-Malpighi, Italy

Received 3 May 2012; Accepted 24 June 2012

Academic Editors: A. Agrawal and B. J. Barron

Copyright © 2012 Marianna Mastroroberto et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Transcatheter embolization is the mainstay of the therapy of splenic artery aneurysms (SAAs) in patients with portal hypertension. It is indicated when the SAA diameter reaches 20 mm. Although endovascular techniques are effective and safe for the treatment of medium-sized SAAs, little is known about their applicability to large-sized SAAs. Herein, we report a case of giant SAA, which was treated with transcatheter coil embolization. The case was not considered suitable for surgery because of the presence of severe portal hypertension. The procedure was complicated by bacterial infection of the coils within the aneurismatic sac, leading to the development of hepatic failure. A liver transplant was then successfully performed despite the presence of a nonresponsive infection.