Doctor insights on:
Aneurysm Splenic Artery
29 yo female with two aneurysms in my splenic artery. Short of breath and pain in upper left abdominal area. Chance of rupture? Elective splenectomy?
Aneurysms: I believe your vascular surgeon is best qualified to evaluate and advise you as there may be no need to operate on these aneurysms unless they reach a certain size. I wouldn't expect shortness of breath to be related to the aneurysms unless they're leaking blood, but the left upper abdominal discomfort is of concern and the vascular surgeon's opinion about this is very important. ...Read more
Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more
Many treatments: Common in women who have delivered children. Usually asymptotic and incidentally discovered. Most experts agree that an aneurysm under 2cm in size is of low risk to rupture. However, it is important to characterize the "aneurysm" correctly and be evaluated by a vascular expert. Coil embolization, surgical ligation with splenectomy, or monitoring may be reasonable. Cta imaging would best. ...Read moreSee 3 more doctor answers
Possibly: Most splenic artery aneurysms are not at any significant risk of rupture & bleeding until they reach around 20 mm so most vascular surgeons recommend following them annually until they reach that size, then repairing them at that time (most often with embolization or stenting rather than surgery). Occasionally an aneurysm will be symptomatic or grow fast & repair would be needed sooner than 20 mm. ...Read more
Probably: Aneurysms of the splenic artery are the 2nd-3rd most common intra-abdominal aneurysms, and most common visceral artery aneurysm. The most common associated risk factors are portal hypertension and multiple pregnancies. Incidence is 4x higher in females than males. ...Read moreSee 1 more doctor answer
What does redemonstration of a patent splenic artery aneurysm maximum dimension on contrast enhanced images is 19mm mean?
Little bulge: "Redemmonstration" means it's been seen before, hopefully a while back, because that means it's stable and not growing. The aneurysm is a bulge in the artery to your spleen. This can rupture, which is sometimes fatal. 19mm isn't very big, but it's big enough to do something about it. We now have endovascular repair methods, so you wouldn't need surgery. But I recommend you take care of it! ...Read more
Can you tell me what to expect at Dr consult for a 15mm splenic artery aneurysm. I don't have appt for 3 weeks is there a problem waiting that long?
Can a calisfied splenic artery aneurysm shrink on its own or will it only grow? Is there a lifestyle change to get it to shrink?
I have a calisfied splenic artery aneurysm found by X-ray for other problem is this hereditary that my adult children will have it?
Not the calcificatio: The risk factors for splenic artery aneurysms are thought to be high "portal vein" pressures (from liver damage) & multiple pregnancies. Neither of these conditions per se is genetic, although many risk factors could have a familial basis (ie, high blood pressure & fertility). If this were hereditary, then your parents, grandparents, uncles/aunts, & siblings would have suffered. If so, then screen ...Read more