Flashcards in Chap 141 Splanchnic Aneurysms Deck (14):
What are some common cause of splanchnic aneurysms?
What are the most common aneurysms?
Which have the highest rupture rate?
high in pregnancy
Which have the highest mortality with rupture?
CAA SPAA 75% in pregnancy
What disease has high incidence of SA?
What is the double rupture?
1st into lesser sac
What are X-ray findings of splenic artery aneurysm?
70% curvilinear signet ring of calcification
What are indication to operate on splenic AA?
Enlarging (10% of patients)
>2cm (not absolute)
Pregnant or childbearing age
Portal HTN or liver transplant list
False aneurysm regardless of size (Cleveland Clinic)
At what level can you ligate splenic?
collaterals from short gastric
Why is HAA incidence increasing?
conservative management of blunt liver trauma and biliary procedures
What is HAA triad?
When can you ligate a HAA?
if there is a patent GDA
Where are SMAA usually located?
first 5 cm