cardiovascular disorders
Aortic Branch Aneurysms
Treatment of Aortic Branch Aneurysms
Open repair or sometimes endovascular stent grafting Treatment is surgical removal and replacement with a graft. Endovascular repair is an option for some patients. The decision to repair asymptomatic aneurysms is based on risk of rupture, extent and location of the aneurysm, and perioperative risk. Surgery for subclavian artery aneurysms may involve removal of a cervical rib (if present) before repair and replacement. 35%) ( Treatment reference ). Elective repair of splanchnic aneurysms is therefore indicated for Aneurysms > 2 cm in diameter Aneurysms in pregnant women or women of childbearing age Symptomatic aneurysms in any age group Hepatic aneurysms For splenic aneurysms, repair may consist of ligation without arterial reconstruction or aneurysm exclusion and vascular reconstruction. Depending on location of the aneurysm, splenectomy may be necessary. Treatment of mycotic aneurysms is aggressive antibiotic therapy directed at the specific pathogen. Generally, these aneurysms must also be surgically repaired. 1.Garey ML, Greenberger S, Werman HA. Ruptured splenic artery aneurysm in pregnancy: a case series.Air Med J2014;33(5):214-217. doi:10.1016/j.amj.2014.05.006 