A first-stage endovascular treatment was planned, and if technically not possible, surgical reparation (aneurysmorrhaphy) was considered.
Surgery has been the standard treatment of portal aneurysms and includes aneurysmorrhaphy, aneurysmectomy, splenecto-my, spleno-renal shunt, and distal pancreatectomy.
Aneurysmorrhaphy is an easy technique for arteriovenous fstula salvage.
Aneurysmorrhaphy has been an approach to treat high flow AVF resulting in high output congestive heart failure [27].
Coronary
aneurysmorrhaphy or size reduction of coronary aneurysms.
Surgical options oscillate between ligation/resection and
aneurysmorrhaphy. These treatments are associated with a high mortality rate and technical difficulties, especially after rupture.
Aneurysmorrhaphy and even ligation of the carotid artery has been considered.
Moreover, emergent surgery is the treatment of choice in case of aneurysmal rupture in a hemodynamically unstable patient and consists of ligation,
aneurysmorrhaphy or bypass surgery.
Approximately 40,000 patients undergo
aneurysmorrhaphy each year.
