Emergent method for management of splenic artery aneurysms rupture: A case report

TL;DR

A new hybrid method combining endovascular and open surgery is proposed for treating ruptured splenic artery aneurysms, offering fewer complications and better outcomes.

Contribution

The paper introduces an emergent hybrid approach for splenic artery aneurysm rupture management using endovascular balloon control and open resection.

Findings

The hybrid approach resulted in successful treatment with a short hospital stay and no complications.

The method is suggested as a safer and more efficient alternative to traditional open surgery for stable patients.

Abstract

Although endovascular therapy is becoming more used for the treatment of splenic artery aneurysms (SAAs) instead of open surgery, there is limited information available on the emergent hybrid approach, selectively. We present our experience of hybrid therapy using an emergent endovascular balloon for inflow control and open resection.

A 34-year-old woman was brought to the emergency room after it was reported that she had a pseudoaneurysm in her splenic artery at a different medical facility. The patient was hemodynamically stable. Then we underwent a combination of endovascular and open procedures, using balloon proximal control and open aneurysm resection. She was discharged from hospital on the fifth postoperative day after the operation.

There is no agreement on how to treat SAA patients. Endovascular procedures such as endovascular intervention are also being used, minimizing the risks of surgery and shortening the patient's hospital stay, but complications remain. We propose to try SAA's emergency hybrid strategy operation with a good prognosis and fewer complications.

It seems that, compared to open surgery alone when endovascular procedures were impossible, elective hybrid procedures are more secure and efficient in stable patients and could make the operation easier without more dissection for proximal control of splenic artery.

•Efficacy of a hybrid approach involving both endovascular and open procedures for the treatment of splenic artery aneurysms (SAAs)•Emergency Hybrid Procedure•This approach is considered a viable alternative to more invasive procedures, highlighting the importance of maintaining collateral circulation in the spleen.

Efficacy of a hybrid approach involving both endovascular and open procedures for the treatment of splenic artery aneurysms (SAAs)

Emergency Hybrid Procedure

This approach is considered a viable alternative to more invasive procedures, highlighting the importance of maintaining collateral circulation in the spleen.

Figures