Do splenic artery aneurysms in women over 60 need surgery?
Patient's Query
Hi doctor,
A year ago, I was told that I had a 0.59-inch splenic aneurysm after a CT scan. This week I had an MRI with and without contrast. The report was a 4.2 fusiform aneurysm dilation of the splenic artery, a 0.181 in × 0.256 inch splenic saccular aneurysm, and minimal mural thrombus. Calcified wall with 0.14-inch renal fusiform aneurysm.
Until I see a vascular MD, I would like to know the treatment for this. Also, a summary is appreciated. I am a 69-year-old female. There is a history of lupus and high blood pressure. I am currently on Lipitor, Toprol, and Benicar.
Thank you.
Hi,
Welcome to icliniq.com.
The splenic artery supplies blood to the spleen, and it may become dilated over a small portion, leading to aneurysm formation. Generally, small splenic aneurysms do not need any treatment, but those of more than 0.7 inch should be treated. The treatment options are open technique and endovascular technique. In the open technique, the abdomen is opened, the splenic artery is identified, and the aneurysm is then operated upon.
This technique involves a major surgery and is less preferred. In the endovascular technique, a catheter is placed in the artery of the arm or leg. Under x-ray guidance (fluoroscopy), it is pushed into the splenic artery, and a metallic coil is placed in the aneurysm. This is a safer and more preferred technique.
I hope this helps.
Kindly revert in case of further queries.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply,
Based on the numbers from my MRI, what treatment is recommended? Do you have any comments about the renal aneurysm?
Thank you.
Hi,
Welcome back to icliniq.com.
The endovascular technique should be appropriate in your case. The renal aneurysm can be tackled in the same sitting endovascularly.
I hope this helps.
Kindly revert in case of further queries.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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