Abstract
A patient with splenic artery aneurysm which developed after creation of selective distal spleno-renal shunt for hepatic cirrhosis and portal hypertension was presented. Three months after operation, an aneurysm of the splenic artery with a diameter of about 20 mm was detected. This aneurysm reached 4 cm three months later, and a resection was carried out. An arterial continuity was established by means of end-to-end anastomosis of the sectioned arterial ends. Because the flow through the splenic artery was about 60% of the total flow of the selective distal spleno-renal shunt, it is important to maintain continuity in order to avoid thrombosis of the shunt.
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References
Maillard, J.N., Flamant, Y.M., Hay, J.M. and Chandler, J.G.: Selectivity of the distal splenorenal shunt. Surgery 86: 663–671, 1979.
Warren, W.D., Zeppa, R. and Fomon, J.J.: Selective transplenic decompression of gastroesophageal varices by distal splenorenal shunt. Ann. Surg. 166: 437–455, 1967.
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Moreno Gonzalez, E., Garcia-Blanch, G., Sanchez Blanco, J.M. et al. Treatment of splenic artery aneurysm after distal splenorenal shunt. A case report. The Japanese Journal of Surgery 11, 377–380 (1981). https://doi.org/10.1007/BF02468964
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DOI: https://doi.org/10.1007/BF02468964