Perfusion was maintained for 6 h and the oxygenated blood was recirculated from the reservoir via the perfusion circuit to the
splenic artery (Fig.
Twenty-two lesions were classified as type B, including lesions of the aortic arch (n=2), descending aorta (n=3), coronary artery (n=1),
splenic artery (n=1), left subclavian artery (n=1), left common carotid artery (n=1), brachiocephalic trunk (n=1), aortaventralis (n=3), celiac trunk (n=3), iliac artery (n=4), renal artery (n=1), and IMA (n=1).
Ultrasound evaluation of liver and spleen was carried out after overnight fast along with doppler evaluation of
splenic artery. Histopathological findings, of the subsequently done liver biopsy, were recorded as gold standard.
Splenic artery aneurysms (SAAs) are the third most common true aneurysms occurring in the abdomen, after aortic and iliac artery aneurysms.
LSPDP can be completed in either of two methods: (1) carefully isolating the
splenic artery and vein from the pancreas via separating and dividing each of the various small branches between the pancreas and these vessels (Kimura's technique) [10] or (2) taking the
splenic artery and vein with the pancreas but cautiously preserving the collateral blood supply of the spleen from the short gastric and left gastroepiploic vessels (Warshaw's approach) [11].
Splenic artery embolization before laparoscopic splenectomy.
Li et al., "Comparison of total
splenic artery embolization and partial splenic embolization for hypersplenism," World Journal of Gastroenterology, vol.
Libera, "
Splenic artery embolization and infarction after cyanoacrylate injection for esophageal varices," Gastrointestinal Endoscopy, vol.
(b) Coronal MIP image showing actively bleeding aberrant artery arising from the
splenic artery (arrow) and extending diagonally into the right iliac fossa, supplying the fat containing lesion (arrow head).
The
splenic artery may have two, three, four, and five terminal branches or enter the splenic tissue without branching.
When the truncus level has been reached, arteria hepatica communis and the left gastric artery, which became easily identified because of the prestenotic dilation, were prepared from the exit site, but the
splenic artery was not isolated, as it was the branch of truncus coeliacus reaching to the caudal part of pancreas.
Two trunks arose separately from a very short CMT: 1) the gastro-splenic trunk divided into the left gastric artery and the
splenic artery; and 2) the hepatomesenteric trunk divided into the common hepatic artery and the superior mesenteric artery.