Vol. 26 No. 3 (2022)
CASE REPORTS

The laparoscopic isolation of a splenic artery aneurysm: a case report

N.S. Odintsov
Almazov National Medical Research Centre
Bio
Yu.K. Belova
Almazov National Medical Research Centre
A.G. Vanyurkin
Almazov National Medical Research Centre
Yu.A. Kudaev
Almazov National Medical Research Centre
A.E. Neimark
Almazov National Medical Research Centre
M.A. Chernyavskiy
Almazov National Medical Research Centre

Published 2022-09-30

Keywords

  • Aged, 80 and over,
  • Aneurysm,
  • Angiography,
  • Case Reports,
  • Laparoscopy,
  • Splenic Artery
  • ...More
    Less

How to Cite

Odintsov, N., Belova, Y., Vanyurkin, A., Kudaev, Y., Neimark, A., & Chernyavskiy, M. (2022). The laparoscopic isolation of a splenic artery aneurysm: a case report. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 26(3), 97–102. https://doi.org/10.21688/1681-3472-2022-3-97-102

Abstract

Splenic artery aneurysm is a rather rare abnormality, and its treatment is a pressing issue due to high morbidity and mortality in case of its rupture.
Our aim is to show the advantages of the laparoscopy for splenic artery aneurysms.
Patient P., 81 years old, was admitted for surgical treatment of the splenic artery aneurysm. Angiography revealed the tortuosity of the splenic artery with a 28-mm distal aneurysm. Laparoscopic treatment of the aneurysm was performed using a stapler. No complications were observed during the postoperative period, so the patient was discharged on day 5.
The laparoscopic treatment is a method of choice in patients with a tortuos splenic artery and a distal aneurysm to spare a spleen.

Received 20 December 2021. Revised 13 April 2022. Accepted 26 April 2022.

Informed consent: The patient’s informed consent to use the records for medical purposes is obtained.

Funding: The study did not have sponsorship.

Conflict of interest: Authors declare no conflict of interest.

Contribution of the authors
Literature review: A.G. Vanyurkin, Yu.A. Kudaev
Drafting the article: N.S. Odintsov, Yu.K. Belova
Critical revision of the article: A.E. Neimark, M.A. Chernyavskiy
Surgical treatment: A.E. Neimark
Final approval of the version to be published: N.S. Odintsov, Yu.K. Belova, A.G. Vanyurkin, Yu.A. Kudaev, A.E. Neimark, M.A. Chernyavskiy

References

  1. Croner R.S., Anders K., Uder M., Lang W. Aneurysmen viszeraler arterien. Dtsch Ärztebl. 2006;103(20):1367-1371.
  2. van Rijn M.J.E., Ten Raa S., Hendriks J.M., Verhagen H.J.M. Visceral aneurysms: Old paradigms, new insights? Best Pract Res Clin Gastroenterol. 2017;31(1):97-104. PMID: 28395793. https://doi.org/10.1016/j.bpg.2016.10.017
  3. Meyer A., Uder M., Lang W., Croner R. [Visceral artery aneurysms]. Zentralbl Chir. 2010;135(5):416-420. PMID: 20976644. https://dx.doi.org/10.1055/s-0030-1262544
  4. Hemp J.H., Sabri S.S. Endovascular management of visceral arterial aneurysms. Tech Vasc Interv Radiol. 2015;18(1):14-23. PMID: 25814199. https://dx.doi.org/10.1053/j.tvir.2014.12.003
  5. Leung E., Maingard J., Yeh J., Lee M.J., Brooks D.M., Asadi H., Burrows D.A., Kok H.K. Contemporary endovascular management of splenic vascular pathologies. Clin Radiol. 2020;75(12):960.e23-960.e34. PMID: 32819705. https://dx.doi.org/10.1016/j.crad.2020.07.010
  6. Roland J., Brody F., Venbrux A. Endovascular management of a splenic artery aneurysm. Surg Laparosc Endosc Percutan Tech. 2007;17(5):459-461. PMID: 18049416. https://dx.doi.org/10.1097/SLE.0b013e31814a5772
  7. Laganà D., Carrafiello G., Mangini M., Dionigi G., Caronno R., Castelli P., Fugazzola C. Multimodal approach to endovascular treatment of visceral artery aneurysms and pseudoaneurysms. Eur J Radiol. 2006;59(1):104-111. PMID: 16597492. https://dx.doi.org/10.1016/j.ejrad.2006.02.004
  8. Шварц Е.Ю., Одинцов Н.С., Хазов П.А., Генералов М.И., Кокорин Д.М., Олещук А.Н., Майстренко Д.Н. Эндоваскулярное лечение аневризмы селезеночной артерии (клиническое наблюдение). Саратовский научно-медицинский журнал. 2021;17(1):54-58. Shvarts E.Yu., Odintsov N.S., Khazov P.A., Generalov M.I., Kokorin D.M., Oleschuk A.N., Maystrenko D.N. Endovascular treatment of a splenic artery aneurysm (case report). Saratov Journal of Medical Scientific Research. 2021;17(1):54-58. (In Russ.)
  9. Moyer H.R., Hiramoto J.S., Wilson M.W., Reddy P., Messina L.M., Schneider D.B. Stent-graft repair of a splenic artery aneurysm. J Vasc Surg. 2005;41(5):897. PMID: 15886678. https://dx.doi.org/10.1016/j.jvs.2004.11.040
  10. Briard R.J., Lee J., Doyle T., Thompson P. Endovascular repair of a portal hypertension-related splenic artery aneurysm using a self-expanding stent-graft. Cardiovasc Intervent Radiol. 2009;32(5):1111-1113. PMID: 19221838. https://dx.doi.org/10.1007/s00270-009-9518-6
  11. Grover B.T., Gundersen S.B. 3rd, Kothari Sh.N. Laparoscopic distal pancreatectomy and splenectomy for splenic artery aneurysm. Surg Endosc. 2010;24(9):2318-2320. PMID: 20177922. https://dx.doi.org/10.1007/s00464-010-0942-0
  12. Ceccarelli G., Gusai G., Rondelli F., Balestra F., De Rosa M. Video-robotic aneurysmectomy for splenic artery aneurysm: case report and literature review. Minim Invasive Ther Allied Technol. 2020;29(4):244-249. PMID: 31250696. https://dx.doi.org/10.1080/13645706.2019.1623819
  13. Чарчян Э.Р., Степаненко А.Б., Абугов С.А., Поляков Р.С., Иванова А.Г., Генс А.П. Хирургическое и эндоваскулярное лечение аневризм селезеночной артерии. Кардиология и сердечно-сосудистая хирургия. 2021;14(3):185-189. https://doi.org/10.17116/kardio202114031185 Charchyan E.R., Stepanenko A.B., Abugov S.A., Polyakov R.S., Ivanova A.G., Gens A.P. Surgical and endovascular treatment of splenic artery aneurysm. Kardiologiya i Serdechno-Sosudistaya Khirurgiya = Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(3):185‑189. (In Russ.). https://doi.org/10.17116/kardio202114031185
  14. Hong D., Cheng J., Wang Z., Shen G., Xie Zh., Wu W., Zhang Y., Zhang Y., Liu X. Comparison of two laparoscopic splenectomy plus pericardial devascularization techniques for management of portal hypertension and hypersplenism. Surg Endosc. 2015;29(12):3819-3826. PMID: 25783835. https://dx.doi.org/10.1007/s00464-015-4147-4
  15. Шапкин Ю.Г., Масляков В.В. Селезенка и иммунный статус организма. Вестник хирургии имени И.И. Грекова. 2009;168(2):110-113. Shapkin Yu.G., Maslyakov V.V. Spleen and immune status of organism. Grekov's Bulletin of Surgery. 2009;168(2):110-113. (In Russ.)
  16. Horowitz J., Smith J.L., Weber T.K., Rodriguez-Bigas M.A., Petrelli N.J. Postoperative complications after splenectomy for hematologic malignancies. Ann Surg. 1996;223(3):290-296. PMID: 8604910; PMCID: PMC1235118. https://dx.doi.org/10.1097/00000658-199603000-00010