Aneurismas de las arterias viscerales / Visceral artery aneurysms

Introducción. El objetivo de este estudio es revisar nuestra experiencia en el diagnóstico y tratamiento de los aneurismas de las arterias viscerales. Material y método. Estudio retrospectivo mediante revisión de historias clínicas de los pacientes diagnosticados de aneurismas viscerales desde 1984 hasta 2003. Se examinan su diagnóstico, su tratamiento y su seguimiento. Resultados. Se diagnosticaron 32 aneurismas en 27 pacientes (17 varones y 10 mujeres). Doce aneurismas de arteria esplénica (AE), 6 de hepática (AH), 5 de tronco celíaco (TC), 3 de gastroduodenal, 1 de yeyunal, 1 pancreatoduodenal, 1 aneurisma de mesentérica superior (MS) ­asociado a un aneurisma de esplénica, renal y de tronco celíaco­, 1 de mesentérica inferior (MI), 1 de arteria cística y 1 caso de microaneurismas parenquimatosos hepatorrenales. Ocho aneurismas no fueron tratados. Tres fueron embolizados. Se excluyó un aneurisma con una endoprótesis cubierta. Veinte aneurismas fueron tratados quirúrgicamente. Se practicó ligadura o exclusión en 11 casos, lobectomía hepática en 1, resecciones con revascularización en 4 casos, endoaneurismorrafias en 3 y sutura simple en 1 seudoaneurisma de AH. Conclusiones. Las actuales técnicas de diagnóstico favorecen un tratamiento precoz y en ocasiones mínimamente invasivo. La afección aneurismática esplácnica es de difícil sospecha diagnóstica y requiere técnicas de reparación muy variadas (AU)

Introduction. The aim of this study was to review our experience in the diagnosis and treatment of visceral artery aneurysms. Material and method. We performed a retrospective study through review of the medical records of patients diagnosed with visceral aneurysms from 1984 to 2003. Diagnosis, treatment and follow-up were analyzed. Results. Thirty-two aneurysms were diagnosed in 27 patients (17 men and 10 women). There were 12 aneurysms of the splanchnic artery, six of the hepatic artery, five of the celiac trunk, three gastroduodenal, one jejunal, one pancreaticoduodenal, one superior mesenteric -associated with a splanchnic, renal and celiac trunk aneurysm-, one inferior mesenteric, one cystic artery and one case of parenchymatous hepatorenal microaneurysms. Eight aneurysms were not treated. Three underwent embolization. One aneurysm was excluded with a covered endoprosthesis. Twenty aneurysms were treated surgically. Ligature or exclusion was performed in 11 patients, hepatic lobectomy in one patient, resection with revascularization in four patients, endoaneurysmorrhaphy in three patients and simple suture was performed in one hepatic artery pseudoaneurysm. Conclusions. Current diagnostic techniques favor early and sometimes minimally invasive treatment. Splanchnic aneurysms are more difficult to diagnose and require highly varied repair techniques (AU)

[Visceral artery aneurysms]. / Aneurismas de las arterias viscerales.

INTRODUCTION: The aim of this study was to review our experience in the diagnosis and treatment of visceral artery aneurysms. MATERIAL AND METHOD: We performed a retrospective study through review of the medical records of patients diagnosed with visceral aneurysms from 1984 to 2003. Diagnosis, treatment and follow-up were analyzed. RESULTS: Thirty-two aneurysms were diagnosed in 27 patients (17 men and 10 women). There were 12 aneurysms of the splanchnic artery, six of the hepatic artery, five of the celiac trunk, three gastroduodenal, one jejunal, one pancreaticoduodenal, one superior mesenteric--associated with a splanchnic, renal and celiac trunk aneurysm--, one inferior mesenteric, one cystic artery and one case of parenchymatous hepatorenal microaneurysms. Eight aneurysms were not treated. Three underwent embolization. One aneurysm was excluded with a covered endoprosthesis. Twenty aneurysms were treated surgically. Ligature or exclusion was performed in 11 patients, hepatic lobectomy in one patient, resection with revascularization in four patients, endoaneurysmorrhaphy in three patients and simple suture was performed in one hepatic artery pseudoaneurysm. CONCLUSIONS: Current diagnostic techniques favor early and sometimes minimally invasive treatment. Splanchnic aneurysms are more difficult to diagnose and require highly varied repair techniques.