Spontaneous isolated celiac and splenic artery dissection
INTRODUCTION: Spontaneous isolated visceral artery dissection is a quite rare condition and designates a dissection that originates in the visceral artery itself with no involvement of the aorta. The objective of this revision article is to summarize the current evidence on this rare pathology. M...
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| Format: | Article |
| Language: | Portuguese |
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Sociedade Portuguesa de Angiologia e Cirurgia Vascular
2023-11-01
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| Series: | Angiologia e Cirurgia Vascular |
| Subjects: | |
| Online Access: | https://acvjournal.com/index.php/acv/article/view/558 |
| _version_ | 1797454158380400640 |
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| author | Daniel Brandão Paulo Barreto Joana Ferreira José Lopes Joel Sousa Armando Mansilha |
| author_facet | Daniel Brandão Paulo Barreto Joana Ferreira José Lopes Joel Sousa Armando Mansilha |
| author_sort | Daniel Brandão |
| collection | DOAJ |
| description |
INTRODUCTION: Spontaneous isolated visceral artery dissection is a quite rare condition and designates a dissection that originates in the visceral artery itself with no involvement of the aorta. The objective of this revision article is to summarize the current evidence on this rare pathology.
METHODS: A non-systematic literature search was performed using the PubMed database. Only English literature was considered. A narrative review was constructed, with the following headings: epidemiology; etiology; diagnosis; treatment; and follow-up.
RESULTS: The celiac trunk is very rarely affected by isolated dissection. Simultaneous isolated celiac and splenic artery dissection are even rarer with less than 50 cases described so far. Even if there are associated with several possible risk factors, their definitive etiology remains unknown. The clinical presentation is quite variable ad most of the patients can be handled medically. Nonetheless, careful follow-up appears to be recommended and endovascular or open surgery should be performed in case of complications.
CONCLUSIONS: Spontaneous isolated celiac and splenic artery dissection are very rare and definitive etiology remains unknown. Individualized treatment and careful follow-up are recommended.
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| first_indexed | 2024-03-09T15:34:06Z |
| format | Article |
| id | doaj.art-7d8fe8c9b2ad44e1b4514a5994c7c865 |
| institution | Directory Open Access Journal |
| issn | 1646-706X 2183-0096 |
| language | Portuguese |
| last_indexed | 2024-03-09T15:34:06Z |
| publishDate | 2023-11-01 |
| publisher | Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
| record_format | Article |
| series | Angiologia e Cirurgia Vascular |
| spelling | doaj.art-7d8fe8c9b2ad44e1b4514a5994c7c8652023-11-26T10:48:17ZporSociedade Portuguesa de Angiologia e Cirurgia VascularAngiologia e Cirurgia Vascular1646-706X2183-00962023-11-0119310.48750/acv.558Spontaneous isolated celiac and splenic artery dissectionDaniel Brandão0Paulo Barreto1Joana Ferreira2José Lopes3Joel Sousa4Armando Mansilha5Angiology and Vascular Surgery Department, CUF Porto Hospital, Portugal; Angiology and Vascular Surgery Unit, Faculty of Medicine of the University of Porto, PortugalAngiology and Vascular Surgery Department, CUF Porto Hospital, Portugal; Angiology and Vascular Surgery Unit, Faculty of Medicine of the University of Porto, PortugalAngiology and Vascular Surgery Department, CUF Porto Hospital, PortugalAngiology and Vascular Surgery Department, CUF Porto Hospital, Portugal; Angiology and Vascular Surgery Unit, Faculty of Medicine of the University of Porto, PortugalAngiology and Vascular Surgery Department, CUF Porto Hospital, Portugal; Angiology and Vascular Surgery Unit, Faculty of Medicine of the University of Porto, PortugalAngiology and Vascular Surgery Department, CUF Porto Hospital, Portugal; Angiology and Vascular Surgery Unit, Faculty of Medicine of the University of Porto, Portugal INTRODUCTION: Spontaneous isolated visceral artery dissection is a quite rare condition and designates a dissection that originates in the visceral artery itself with no involvement of the aorta. The objective of this revision article is to summarize the current evidence on this rare pathology. METHODS: A non-systematic literature search was performed using the PubMed database. Only English literature was considered. A narrative review was constructed, with the following headings: epidemiology; etiology; diagnosis; treatment; and follow-up. RESULTS: The celiac trunk is very rarely affected by isolated dissection. Simultaneous isolated celiac and splenic artery dissection are even rarer with less than 50 cases described so far. Even if there are associated with several possible risk factors, their definitive etiology remains unknown. The clinical presentation is quite variable ad most of the patients can be handled medically. Nonetheless, careful follow-up appears to be recommended and endovascular or open surgery should be performed in case of complications. CONCLUSIONS: Spontaneous isolated celiac and splenic artery dissection are very rare and definitive etiology remains unknown. Individualized treatment and careful follow-up are recommended. https://acvjournal.com/index.php/acv/article/view/558Arterial dissectionceliac arterysplenic arterypseudoaneurysmendovascular treatment |
| spellingShingle | Daniel Brandão Paulo Barreto Joana Ferreira José Lopes Joel Sousa Armando Mansilha Spontaneous isolated celiac and splenic artery dissection Angiologia e Cirurgia Vascular Arterial dissection celiac artery splenic artery pseudoaneurysm endovascular treatment |
| title | Spontaneous isolated celiac and splenic artery dissection |
| title_full | Spontaneous isolated celiac and splenic artery dissection |
| title_fullStr | Spontaneous isolated celiac and splenic artery dissection |
| title_full_unstemmed | Spontaneous isolated celiac and splenic artery dissection |
| title_short | Spontaneous isolated celiac and splenic artery dissection |
| title_sort | spontaneous isolated celiac and splenic artery dissection |
| topic | Arterial dissection celiac artery splenic artery pseudoaneurysm endovascular treatment |
| url | https://acvjournal.com/index.php/acv/article/view/558 |
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