Surgery has been the standard treatment of portal aneurysms and includes aneurysmorrhaphy, aneurysmectomy, splenecto-my, spleno-renal shunt, and distal pancreatectomy.
Material and Methods: Patients with concomitant valve replacement, ventricular aneurysmectomy redo coronary bypass or other cardiac or ascending aortic procedures were excluded from this analysis.
Partial aneurysmectomy is effective in managing aneurysm-associated complications of arteriovenous fstulae for hemodialysis: case series and literature review.
There are also several surgical procedures used to treat the condition, including surgical debridement with in situ graft interposition and omental wrapping, aneurysm exclusion and extra-anatomic (axillofemoral) bypass, and aneurysmectomy with polytetrafluoroethylene (PTFE) graft interposition.
For giant SAAs or cases where a simple aneurysmectomy is impossible due to dense strictures, the preferred treatment options include the following: an aneurysmectomy plus splenectomy; bipolar splenic artery ligation, with or without an aneurysmectomy; transaneurysmal splenic artery ligation; or distal pancreatectomy, if necessary [9].
The surgical methods described include ligation with aneurysmectomy [12, 13] and repair/reconstruction by either end-to-end anastomosis [26, 27] or grafting [14].
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