Laparoscopic Resection of a Splenic Artery Aneurysm with Vascular Reconstruction During Pregnancy.
Ann Vasc Surg
; 72: 666.e7-666.e11, 2021 Apr.
Article
em En
| MEDLINE
| ID: mdl-33227481
ABSTRACT
Splenic artery aneurysms (SAA) are more frequent in women and have a high rupture risk during pregnancy, with catastrophic outcomes. It is advisable to treat these aneurysms in pregnant and fertile women, whatever their diameter, given their increased risk for rupture. There are several therapeutic approaches endovascular surgery using coil embolization or stent graft coverage; laparoscopic or open surgical resection with arterial reconstruction and ligation followed by splenectomy when necessary. This paper aims to report the successful treatment of SAA in second-trimester pregnant women using a laparoscopic approach with aneurysm resection and arterial reconstruction. This is a unique report of a minimally invasive approach with arterial reconstruction in a pregnant woman, thus reducing the risk of spleen infarction and potentially avoiding splenectomy.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Complicações Cardiovasculares na Gravidez
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Artéria Esplênica
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Técnicas de Sutura
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Laparoscopia
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Procedimentos de Cirurgia Plástica
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Aneurisma
Limite:
Adult
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Female
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Humans
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Pregnancy
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article