Review Article

Blood Flukes and Arterial Damage: A Review of Aneurysm Cases in Patients with Schistosomiasis

Table 2

Surgical treatment and outcome of patients.

NAuthor, yearAge, sexVascular findingsSurgical treatmentOutcome

2Vanker, 198619, FAortic arch pseudoaneurysm (7 x 2 cm)Aneurysmectomy and direct sutureUnknown
3Mucenic, 200245, MRight portal branch aneurysm (5 x 4 x 4 cm)SplenectomyPartial portal vein thrombosis. Alive (reduction of aneurysm size to 1.4 cm and resolution of the vessel thrombosis on follow up)
4Lambertucci, 201066, FSaccular aneurysm of the splenic artery; intrahepatic shunt between right portal branch-and right hepatic veinRefused surgery treated with beta-blockersUnknown
5Piveta, 201241, FPulmonary artery aneurysm (8.3 cm)Exitus waiting for surgeryExitus (aneurysm rupture and cardiac tamponade)
6Genzini, 201448, MRight renal artery aneurysm 2.5 cmNephrectomy, aneurysmectomy and renal reimplantationAlive (creatinine improvement on follow-up)
7Ramadan, 201555, MRight pulmonary artery aneurysm (17 x 11 cm)Refused surgery on anticoagulationExitus (massive pulmonary embolization, notwithstanding anti-coagulant therapy)
11De Oliveira, 201948, MAortic graft infection and aortic ruptureNot-specified reintervention on previous aortic graft on antibiotic therapyExitus (complications of surgery on 12th day post-operatory, likely due to comorbidities related to hepato-splenic schistosomiasis)
12Dyer, 202018, FHepatic artery pseudoaneurysm; acute bleeding from the ampulla of VaterNot specified in therapy with praziquantel andBleeding of aneurysm from Vater ampulla, notwithstanding praziquantel
13Abdelnaby, 202038, FPulmonary artery aneurysm with dilatation of both branches and Ortner’s syndromeRefused surgeryDischarged on close follow-up

Anagraphical details, aneurysm description, surgical management, and outcome of patients were specified. Fatality was reported in 3/13 patients. F = female; M = male.