A SUCCESSFULLY OPERATED ON CASE OF ABDOMINAL AORTIC ANEURYSM ACCOMPANIED BY A SPLENIC ARTERY ANEURYSM

Abstract

A case of splenic artery aneurysm accompanied by an abdominal aortic aneurysm is reported. The patients, a 71-year-old woman, was found to have a pulsating abdominal tumor when she was admitted to the hospital because of hypertension. Angiography of the abdominal aorta revealed an 8 cm×10 cm abdominal aortic aneurysm, and a 1.2 cm×1.2 cm splenic artery aneurysm. The abdominal aorta was replaced a Y-shaped double veloar knitted dacron graft, and splenectomy including the splenic artery aneurysm was performed. Histological findings showed that both the abdominal and splenic artery aneurysms are relatively arteruosclerotic changes. Splenic artery aneurysm are relatively rare and to date only 159 cases have been reported in Japan. Since mortality and morbidity rates are high, intensive care and imidiate surgery are necessary.