J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 395KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 93(3): 332-335, 1992

Case report

A CASE REPORT OF ANEURYSM IN THE ROOT OF SPLENIC ARTERY OF THE　SPLENOMESENTERIC TYPE TREATED WITH REANSTOMOSIS

1) Department of of Surgery, Komaki Municipal Hospital, Komaki, Japan
2) Department of Thoracic Surgery, Nagoya University School of Medicine, Nagoya, Japan

Masataka Negita1), Hiroyuki Suenaga1), Yuichi Suzuki1), Yasuhiro Kodera1), Kenji Taniguchi1), Hiroshi Yogo1), Hiroshi Okamoto2)

A 76-year-old woman with lumbo-abdominal pain as a chief complaint went through a series of examinations including ultrasonography, CT, and angiography, the final diagnosis being aneurysm of the splenic artery congenitally arising from the superior mesenteric artery (SMA). Since the SMA had to be clamped during the exision of the aneurysm, a biballoon intraluminal shunting was utilized to avoid the visceral ischemia. The splenic artery distal to the aneurysm then underwent end-to-side anasotmosis to the SMA. This shunting procedure was considered convenient and applicable to other similar situations in the vascular surgery.

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