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.
is an easy technique for arteriovenous fstula salvage.
has been an approach to treat high flow AVF resulting in high output congestive heart failure .
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.
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