Interdisciplinary Management of Visceral Artery Aneurysms and Visceral Artery Pseudoaneurysms

Berek, Peter; Kopolovets, Ivan; Dzsinich, Csaba; Bober, Juraj; Štefanič, Peter; Sihotský, Vladimír

doi:10.14712/18059694.2020.14

Acta Medica > Archive > 2020, Vol. 63 > Issue 1 > Interdisciplinary Management of Visceral…

Acta Med. 2020, 63: 43-48

https://doi.org/10.14712/18059694.2020.14

Interdisciplinary Management of Visceral Artery Aneurysms and Visceral Artery Pseudoaneurysms

Peter Berek^a, Ivan Kopolovets^a,b, Csaba Dzsinich^c, Juraj Bober^d, Peter Štefanič^a, Vladimír Sihotský^a

^aClinic of Vascular Surgery, East Slovak Institute of Cardiovascular Diseases, Faculty of Medicine, Pavol Jozef Šafárik University, Košice, Slovak Republic
^bUzhhorod National University, Medical Faculty, Department of Surgical Diseases, Uzhhorod, Ukraine
^cDepartment of Cardiovascular and Thoracic Surgery at the National Institute of Health of Hungary, Budapest
^d1st Department of Surgery, Pavol Jozef Šafárik University, Faculty of Medicine, Košice, Slovak Republic

Received July 5, 2019
Accepted August 5, 2019

The paper presents the results of treating 14 patients, namely eight patients with visceral artery aneurysms and six patients with visceral artery pseudoaneurysms. In 64.3% of the patients, the initial diagnosis was made based on the ultrasound examination. All the patients (100%) underwent CT angiography, while angiography was performed in 71.4% of the cases. Five (35.7%) patients with visceral artery pseudoaneurysms were emergently hospitalized; among them, the signs of bleeding were observed in 2 patients. In 9 patients, pathology was detected during tests for other conditions. Five (35.7%) patients underwent endovascular treatment, while 9 (64.3%) patients received surgical treatment. Endovascular interventions and open surgery demonstrated a nil mortality rate. After endovascular treatment, stent thrombosis was found in 1 patient. In the case of surgical treatment, visceral artery aneurysm was observed in 1 patient who underwent the resection of superior mesenteric artery pseudoaneurysm. Conclusions. The choice of the method of treating visceral artery aneurysms and visceral artery pseudoaneurysms depends on the location, size, anatomic features of the visceral arteries and the clinical course of the disease. Both endovascular and surgical treatment demonstrate good postoperative outcomes. Visceral ischemia is one of the most serious complications in the postoperative period, which can complicate both the diagnosis and the choice of treatment tactics.