Endovascular treatment of multiple anomalous splenic artery aneurysms in a Jehovah witness.

Il Giornale di chirurgia

PubMedID: 23463933

Borioni R, De Persio G, Leporace M, Di Capua C, Boggi U, Garofalo M. Endovascular treatment of multiple anomalous splenic artery aneurysms in a Jehovah witness. G Chir. 2013;34(1-2):42-5.
PURPOSE
The present report describes a full endovascular treatment of a multiple anomalous (Splenic artery aneurysms) SAA with combination of coils embolization and proximal occlusion of the splenic artery with the Amplatzer vascular plug.

CASE REPORT
A 53-year-old Jehovah witness woman presented with multiple aneurysms arising from an anomalous splenic artery. An endovascular treatment was performed by implantation of multiple coils and an Amplatzer Vascular Plug. A CT scan 2 months after the procedure showed complete thrombosis of the aneurysms.

DISCUSSION
Aneurysms involving an anomalous or aberrant splenic artery are rarely reported in the literature. Their surgical treatment involves potential difficulties as a consequence of anatomical position and vascular anomalies. A fully endovascular technique can be much more attractive compared to any surgical management, providing an effective and minimally invasive option.