Document Detail


Visceral artery aneurysms as seen in a community hospital.
MedLine Citation:
PMID:  11004337     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Visceral artery aneurysm (VAA) is a rare but important form of vascular pathology. METHODS: A retrospective chart review was performed for all patients treated for VAAs from 1980 to 1998 at the Northern California Kaiser Hospitals. RESULTS: Thirty-one patients with VAAs were treated, 11 men and 20 women with an average age of 60 years. The arteries involved were 15 splenic, 8 hepatic, 5 superior mesenteric branch, 1 left gastric, 1 gastroduodenal, and 1 left colic. Seventy-four percent of patients presented with acute abdominal pain and/or shock secondary to aneurysm rupture. Angioembolization was performed in 9, and 25 were treated surgically. There was no morbidity, and 1 death (3.2%). CONCLUSIONS: Patients with VAAs often present to the community hospital general surgeon as acute abdominal emergencies. Symptomatic VAAs can be managed successfully by simple ligation in the primary care setting.
Authors:
C Carmeci; J McClenathan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  179     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2000 Jun 
Date Detail:
Created Date:  2000-10-16     Completed Date:  2000-10-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  486-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Stanford University, Stanford, California, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Aneurysm / mortality,  radiography*,  surgery*
Angiography
Female
Hepatic Artery / radiography,  surgery*
Humans
Male
Mesenteric Arteries / radiography,  surgery*
Middle Aged
Prognosis
Retrospective Studies
Splenic Artery / radiography,  surgery*
Survival Rate
Tomography, X-Ray Computed
Vascular Surgical Procedures / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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