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Visceral artery aneurysms

Visceral artery aneurysms are rare with an incidence of only 0.01–0.1% of the population. Open surgical or endovascular elimination should be performed for aneurysms greater than 2 cm in size. The risk of aneurysm rupture is then approximately 25–40%. If the aneurysm ruptures the mortality can be as...

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Autores principales: Juntermanns, B., Bernheim, J., Karaindros, K., Walensi, M., Hoffmann, J. N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Medizin 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5997106/
https://www.ncbi.nlm.nih.gov/pubmed/29950792
http://dx.doi.org/10.1007/s00772-018-0384-x
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author Juntermanns, B.
Bernheim, J.
Karaindros, K.
Walensi, M.
Hoffmann, J. N.
author_facet Juntermanns, B.
Bernheim, J.
Karaindros, K.
Walensi, M.
Hoffmann, J. N.
author_sort Juntermanns, B.
collection PubMed
description Visceral artery aneurysms are rare with an incidence of only 0.01–0.1% of the population. Open surgical or endovascular elimination should be performed for aneurysms greater than 2 cm in size. The risk of aneurysm rupture is then approximately 25–40%. If the aneurysm ruptures the mortality can be as high as 76%. For mycotic aneurysms or spurious aneurysms there is no lower limit to the diameter size for the need of treatment. Sudden abdominal pain during pregnancy can be caused by visceral artery aneurysms and must be further clarified. The indications for surgery during pregnancy should be made generously. The clinical symptoms (abdominal complaints) of visceral artery aneurysms are manifold. The treatment can be either an open surgical approach or endovascular treatment. In the emergency setting, if endovascular treatment is no longer possible, an open surgical treatment needs to be performed. There are so far no randomized studies which could identify one of the procedures (open surgery vs. endovascular surgery) as clearly being superior. The prognosis after treatment is satisfactory with a 5–10 year survival rate of approximately 90%.
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spelling pubmed-59971062018-06-25 Visceral artery aneurysms Juntermanns, B. Bernheim, J. Karaindros, K. Walensi, M. Hoffmann, J. N. Gefasschirurgie Übersichten Visceral artery aneurysms are rare with an incidence of only 0.01–0.1% of the population. Open surgical or endovascular elimination should be performed for aneurysms greater than 2 cm in size. The risk of aneurysm rupture is then approximately 25–40%. If the aneurysm ruptures the mortality can be as high as 76%. For mycotic aneurysms or spurious aneurysms there is no lower limit to the diameter size for the need of treatment. Sudden abdominal pain during pregnancy can be caused by visceral artery aneurysms and must be further clarified. The indications for surgery during pregnancy should be made generously. The clinical symptoms (abdominal complaints) of visceral artery aneurysms are manifold. The treatment can be either an open surgical approach or endovascular treatment. In the emergency setting, if endovascular treatment is no longer possible, an open surgical treatment needs to be performed. There are so far no randomized studies which could identify one of the procedures (open surgery vs. endovascular surgery) as clearly being superior. The prognosis after treatment is satisfactory with a 5–10 year survival rate of approximately 90%. Springer Medizin 2018-04-20 2018 /pmc/articles/PMC5997106/ /pubmed/29950792 http://dx.doi.org/10.1007/s00772-018-0384-x Text en © The Author(s) 2018 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Übersichten
Juntermanns, B.
Bernheim, J.
Karaindros, K.
Walensi, M.
Hoffmann, J. N.
Visceral artery aneurysms
title Visceral artery aneurysms
title_full Visceral artery aneurysms
title_fullStr Visceral artery aneurysms
title_full_unstemmed Visceral artery aneurysms
title_short Visceral artery aneurysms
title_sort visceral artery aneurysms
topic Übersichten
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5997106/
https://www.ncbi.nlm.nih.gov/pubmed/29950792
http://dx.doi.org/10.1007/s00772-018-0384-x
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