Management of Giant Splenic Artery Aneurysm Comprehensive Literature Review

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dc.authoridAkbulut, Sami/0000-0002-6864-7711
dc.authorwosidAkbulut, Sami/L-9568-2014
dc.contributor.authorAkbulut, Sami
dc.contributor.authorOtan, Emrah
dc.date.accessioned2024-08-04T20:41:11Z
dc.date.available2024-08-04T20:41:11Z
dc.date.issued2015
dc.departmentİnönü Üniversitesien_US
dc.description.abstractTo provide an overview of the medical literature on giant splenic artery aneurysm (SAA). The PubMed, Medline, Google Scholar, and Google databases were searched using keywords to identify articles related to SAA. Keywords used were splenic artery aneurysm, giant splenic artery aneuryms, huge splenic artery aneurysm, splenic artery aneurysm rupture, and visceral artery aneurysm. SAAs with a diameter >= 5 cm are considered as giant and included in this study. The language of the publication was not a limitation criterion, and publications dated before January 15, 2015 were considered. The literature review included 69 papers (62 fulltext, 6 abstract, 1 nonavailable) on giant SAA. A sum of 78 patients (50 males, 28 females) involved in the study with an age range of 27-87 years (mean +/- SD: 55.8 +/- 14.0 years). Age range for male was 30-87 (mean +/- SD: 57.5 +/- 12.0 years) and for female was 27-84 (mean +/- SD: 52.7 +/- 16.6 years). Most frequent predisposing factors were acute or chronic pancreatitis, atherosclerosis, hypertension, and cirrhosis. Aneurysm dimensions were obtained for 77 patients with a range of 50-300 mm (mean +/- SD: 97.1 +/- 46.0 mm). Aneurysm dimension range for females was 50-210 mm (mean +/- SD: 97.5 +/- 40.2 mm) and for males was 50-300 mm (mean +/- SD: 96.9 +/- 48.9 mm). Intraperitoneal/retroperitoneal rupture was present in 15, among which with a lesion dimension range of 50-180 mm (mean +/- SD; 100 +/- 49.3 mm) which was range of 50-300 mm (mean +/- SD: 96.3 +/- 45.2 mm) in cases without rupture. Mortality for rupture patients was 33.3%. Other frequent complications were gastrosplenic fistula (n = 3), colosplenic fistula (n = 1), pancreatic fistula (n = 1), splenic arteriovenous fistula (n = 3), and portosplenic fistula (n = 1). Eight of the patients died in early postoperative period while 67 survived. Survival status of the remaining 3 patients is unclear. Range of follow-up period for the surviving patients varies from 3 weeks to 42 months. Either rupture or fistulization into hollow organs risk increase in compliance with aneurysm diameter. Mortality is significantly high in rupture cases. Patients with an evident risk should undergo either surgical or interventional radiological treatment without delay.en_US
dc.identifier.doi10.1097/MD.0000000000001016
dc.identifier.issn0025-7974
dc.identifier.issn1536-5964
dc.identifier.issue27en_US
dc.identifier.pmid26166071en_US
dc.identifier.scopus2-s2.0-84941112562en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.urihttps://doi.org/10.1097/MD.0000000000001016
dc.identifier.urihttps://hdl.handle.net/11616/96973
dc.identifier.volume94en_US
dc.identifier.wosWOS:000360856600001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofMedicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPseudoaneurysmen_US
dc.subjectRareen_US
dc.subjectEmbolizationen_US
dc.subjectSecondaryen_US
dc.subjectRuptureen_US
dc.titleManagement of Giant Splenic Artery Aneurysm Comprehensive Literature Reviewen_US
dc.typeReview Articleen_US

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