Viszeralarterien-Aneurysmen

  • H. Erasmi
  • M. Walter
  • R. Schmidt
Conference paper

Zusammenfassung

Aneurysmen der Viszeralarterien sind selten. Bis 1950 lagen fast nur Fallberichte von perforierten Aneurysmen vor. Der häufig katastrophale Ausgang des Rupturereignisses bestimmte die Meinung über die Gefährlichkeit dieser Aneurysmen; zunehmend werden nun jedoch auch Aneurysmen im asymptomatischen Stadium als Zufallsbefund bei nichtinvasiven diagnostischen Verfahren entdeckt, und es hat sich gezeigt, daß die Rupturgefahr - je nach Lokalisation - offensichtlich unterschiedlich ist. Unterschiedlich ist aber auch die Ätiologie der Aneurysmen. Sie können auf dem Boden der fibromuskulären Dysplasie, hormoneller Einflüsse, mykotischer Embolisationen und lokaler Entzündungsprozesse, bei Periarteriitis nodosa, aber auch bei Arteriosklerose entstehen. Der ursächliche Entstehungsmechanismus ist jedoch immer noch nicht geklärt. Gemeinsam ist ihnen, daß sie meist keine oder nur sehr unbestimmte abdominelle Symptome bieten, bis sie plötzlich rupturieren können.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. 1.
    Abeshouse BS (1951) Aneurysm of the renal artery. Report of two cases and review of the literatur. Urol Cut Rev 55: 451–463PubMedGoogle Scholar
  2. 2.
    Bak ML, Neiman BH (1971) Dissecting aneurysm of superior mesenteric artery. Ill Med J 139: 589Google Scholar
  3. 3.
    Baumann UA, Tillmann U, Frei J, Fehr HF (1984) Arterielles Aneurysma der Leber mit arterio-portaler Fistel: Behandlung mittels Embolisation. Schweiz med Wschr 114: 451–453Google Scholar
  4. 4.
    Bedford PD, Lodge B (1960) Aneurysm of the splenic artery. Gut 1: 321–320CrossRefGoogle Scholar
  5. 5.
    Brown OW, Hollier LH, Pairolero PC, McCready RA (1983) Uncommon visceral artery aneurysms. South Med J 76 (8): 1000–1001PubMedCrossRefGoogle Scholar
  6. 6.
    Busuttil RW, Brin BJ (1980) The diagnosis and management of visceral artery aneurysms. Surgery 88: 619–624PubMedGoogle Scholar
  7. 7.
    Cappeller WA, Jauch KW, Lauterjung L, Schildberg FW (1991) Differenzierte operative Therapie von Viszeralarterienaneurysmen. Angio Archiv 20: 201–204Google Scholar
  8. 8.
    Countryman D, Norwood S, Register D, Torma M, Andrassy R (1983) Hepatic aneurysm. Report of an usual case and review of literature. Am Surgeo 49: 51–54Google Scholar
  9. 9.
    Cummings KB, Lecky JW, Kaufman JJ (1973) Renal artery aneurysms and hypertension. J Urol 109: 144–148PubMedGoogle Scholar
  10. 10.
    Deterling RA (1971) Aneurysm of the visceral arteries. J Cardiovasc Surg 12: 309–322Google Scholar
  11. 11.
    Edsman G (1965) Angiography and suprarenal angiography. Acta Radiol (Stockholm) 155 (Suppl): 104–116Google Scholar
  12. 12.
    Garland HG (1932) Pathology of aneurysms: Review of 167 autopsies. J Pathol Bacteriol 35: 333CrossRefGoogle Scholar
  13. 13.
    Hageman JH, Smith RF, Szilagyi E, Elliott JP (1978) Aneurysms of the renal artery: Problems of prognosis and surgical management. Surgery 84: 563–572Google Scholar
  14. 14.
    Hans SS, Gordon M, Lee PT (1977) Saccular atherosclerotic aneurysm of the superior mesenteric artery. Arch Surg 112: 854.PubMedGoogle Scholar
  15. 15.
    Hatano R, Iwai T, Goseki N, Kudo G, Hiranuma S, Kojima S, Murakami T, Suzuki S, Aoki N (1980) Multiple aneurysms of the visceral arteries with migrating vascula bruit on postural charge: A case report. Jpn J Surg 10 (1): 48–54PubMedCrossRefGoogle Scholar
  16. 16.
    Herzler GM, Silver TM, Graham LM, Stanley JC (1981) Celiac artery aneurysm: Ultrasonic diagnosis. J Clin Ultrasound 9: 141–143Google Scholar
  17. 17.
    Ho KL (1979) Aneurysm of pancreaticoduodenal artery: Report of a case in review of the literature. Internat Surg 64: 35–39Google Scholar
  18. 18.
    Iseki J, Tada Y, Wada T, Nobori M (1983) Hepatic artery aneurysm. Report of a case and review of the literature. Gastroenterol Jap 18 (2): 84–92.Google Scholar
  19. 19.
    Jorgensen BA (1985) Visceral artery aneurysms. A review. Dan Med Bull 32: 237–242PubMedGoogle Scholar
  20. 20.
    Maloney RD, Nealon TF, Roberts EAB (1976) Massive bleeding from a ruptured superior mesenteric artery aneurysm into duodenum. Arch Surg 11: 286Google Scholar
  21. 21.
    Mangialardi N, Serrao E, Occhigrossi G, Schivo F, Tatta C, Aglietti L (1989) Large aneurysm of the superior mesenteric artery. Int Angiol 8: 154–156PubMedGoogle Scholar
  22. 22.
    Mayefsky E, Kayman A, Waxman J, Kim U (1982) Acute intraabdominal hemmorrhage from ruptured aneurysms of the splenic artery. The Mount Sinai J Med 49: 487–491Google Scholar
  23. 23.
    McNamara MF, Bakshi KR (1982) Mesenteric artery aneurysms. In: Bergan J J, Yao JST (eds) Aneurysms. Diagnosis and Treatment. Grune AMP; Stratton Inc., New York London Paris, pp 385–403Google Scholar
  24. 24.
    Mehrotra D, DiBenedetto R, Theriot E, Moreland J, Mehta P (1983) Spontaneous rupture of splenic artery aneurysms. Sixth instance of both material and fetal survival. Surg Gynecol Obstetr 62: 665–666Google Scholar
  25. 25.
    Moore SW, Lewis RJ (1961) Splenic artery aneurysm. Ann Surg 153: 1033–1046PubMedCrossRefGoogle Scholar
  26. 26.
    Moore SW, Guida PM, Schumacher HW (1970) Splenic artery aneurysms. Bull Soc Int Chir 29: 210 218Google Scholar
  27. 27.
    Richardson A J, Liddington, Jaskowski A, Murie JA, Gillmer M, Morris PJ (1990) Pregnancy in a real transplant recipient complicated by rupture of a transplant renal artery aneurysm. Br J Surg 77: 228–229PubMedCrossRefGoogle Scholar
  28. 28.
    Rogers DM, Thompson JE, Garrett WV, Talkington CM, Patman RD (1982) Mesenteric vascular problems. A 26-years experience. Ann Surg 195: 554–556PubMedCrossRefGoogle Scholar
  29. 29.
    Seithi GK, Nelson RM (1978) Gastroduodenal artery aneurysm: Report of a case and review of the literature. Surg 79: 233–235Google Scholar
  30. 30.
    Smith JA, Macleish DG, Collier NA (1989) Aneurysms of the visceral arteries. Austr N ZJ Surg 59: 329–334CrossRefGoogle Scholar
  31. 31.
    Stanley JC (1977) Splanchnic artery aneurysms. In: Rutherford RB (ed) Vascular Surgery. WB Saunders, Philadelphia, pp 673–685Google Scholar
  32. 32.
    Stanley JC, Fry WJ (1974) Pathogenesis and clinical significance of splenic artery aneurysms. Surgery 76: 898–909PubMedGoogle Scholar
  33. 33.
    Stanley JC, Whitehouse WM, jr (1982) Renal artery macroaneurysms. In: Bergan JJ, Yao JST (eds) Aneurysms. Diagnosis and Treatment. Grune & Stratton Inc., New York London Paris, pp 417–431Google Scholar
  34. 34.
    Stanley JC, Thompson NW, Fry WJ (1970) Splanchnic artery aneurysms. Arch Surg 101: 689–697PubMedGoogle Scholar
  35. 35.
    Stanley JC, Gewertz BL, Bove EL, Sottiurai WS, Fry WJ (1975) Arterial fibrodysplasia: Histopathologic character and current ethiologic concepts. Arch Surg 110: 561–566Google Scholar
  36. 36.
    Stanley JC, Rhodes EL, Gewertz BL, Chang CY, Walter JF, Fry WJ (1975) Renal artery aneurysms: Significance of macroaneurysms exclusive of dissection and fibrodysplastic mural dilatations. Arch Surg 110: 1327–1333Google Scholar
  37. 37.
    Trastek VF, Pairolero PC, Joeyce JW, Hollier LH, Bernatz PE (1982) Splenic artery aneurysms. Surgery 91: 695–699Google Scholar
  38. 38.
    Van Berge Henegouwen DP, Koning J, Padmos M, Barwegen MGMH, Schwilden ED (1980) Aneurysmen der intestinalen Arterien. Angio 4: 259–268Google Scholar
  39. 39.
    Von Rönnen JR (1953) The roentgen diagnosis of calcified aneurysms of splenic and renal arteries. Acta Radiol (Diag) (Stockholm) 39: 385–400Google Scholar
  40. 40.
    Walter P, Büchels H, Becker HM (1983) Fallberichte zur Behandlung von Aneurysmen der Arteria hepatica. Angio 5: 293–297Google Scholar
  41. 41.
    Whitehouse WM jr, Walter M, Graham LM, Stanley JC (1982) Aneurysms of Celiac, Hepatic an Splenic Arteries. In: Bergan JJ, Yao JST (eds) Aneurysms. Diagnosis and Treatment. Grune & Stratton Inc., New York London Paris, pp 405–415Google Scholar

Copyright information

© Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG, Darmstadt 1992

Authors and Affiliations

  • H. Erasmi
    • 1
    • 2
  • M. Walter
    • 1
  • R. Schmidt
    • 1
  1. 1.Chirurgische Universitäts-Klinik und Poliklinik Köln-Lindenthal (Direktor: Prof. Dr. Dr. H. Pichlmaier)Germany
  2. 2.KreislauflaborChiurgische Universitätsklinik KölnKöln 41Germany

Personalised recommendations