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Case Reports in Surgery
Volume 2012 (2012), Article ID 964093, 4 pages
http://dx.doi.org/10.1155/2012/964093
Case Report

Endovascular Treatment of Giant Splenic Artery Aneurysm

1Department of Medical Habilities, Federal University of Pará (UFPA), Belém, PA, Brazil
2Department of Surgery, Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil

Received 16 October 2012; Accepted 2 December 2012

Academic Editors: C. Foroulis, M. Güvener, F.-M. Haecker, and G. Santori

Copyright © 2012 Adenauer Marinho de Oliveira Góes Junior 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

Introduction. Visceral artery aneurysms are uncommon. Among them, splenic artery is the most common (46–60%). Most splenic artery aneurysms are asymptomatic and diagnosed incidentally, but its rupture, potentially fatal, occurs in up to 8% of cases. Presentation of Case. A female patient, 64 years old, diagnosed with a giant aneurysm of the splenic artery (approximately 6.5 cm in diameter) was successfully submitted to endovascular treatment by stent graft implantation. Discussion. Symptomatic aneurysms and those larger than 2 cm represent some of the main indications for intervention. The treatment may be by laparotomy, laparoscopy, or endovascular techniques. Among the various endovascular methods discussed in this paper, there is stent graft implantation, a method still few reported in the literature. Conclusion. Although some authors still consider the endovascular approach as an exception to the treatment of SAA, in major specialized centers these techniques have been consolidated as the preferred choice, reserving the surgical approach in cases where this cannot be used. For being a less aggressive approach, it offers an opportunity of treatment to patients considered “high risk” for surgical treatment by laparotomy/laparoscopy.