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Intraabdominal Vasculature

  • George H. MeierIII
  • Hosam F. El Sayed

Abstract

While undergoing an emergency exploratory laparotomy for management of a perforated sigmoid colon and perforated diverticulum, a 62-year-old patient was discovered to have a 5-cm splenic artery aneurysm. The patient’s comorbidities include diabetes mellitus, chronic obstructive pulmonary disease, and coronary artery disease angioplasty and stent placement x3 performed 10 months ago. Which of the following is the most prudent management approach for the splenic artery aneurysm?
  1. (A)

    Construction of a bypass graft

     
  2. (B)

    Resection of the aneurysm and splenectomy at the time of the operation

     
  3. [(C)

    Postoperative placement of an endovascular stent

     
  4. (D)

    Aneurysmectomy only

     
  5. (E)

    Expectant management

     

Keywords

Renal Artery Superior Mesenteric Artery Abdominal Aortic Aneurysm Aortic Dissection Abdominal Aortic Aneurysm 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • George H. MeierIII
    • 1
  • Hosam F. El Sayed
    • 2
  1. 1.Department of Vascular SurgeryEastern Virginia Medical SchoolNorfolkUSA
  2. 2.Department of Surgery, Division of Vascular SurgeryEastern Virginia Medical SchoolNorfolkUSA

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