Abstract
Although splanchnic artery aneurysms are uncommon and remain mostly asymptomatic, they are associated with a high mortality rate when they rupture. We discuss the case of a 66-year-old woman who had successful embolization of a left gastric artery aneurysm after presenting with acute chest pain and the unusual computed tomography findings of hemothorax and hemomediastinum. To our knowledge, only one other similar case has been published in the literature.
Similar content being viewed by others
References
Carmeci C, McClenathan J (2000) Visceral artery aneurysms as seen in a community hospital. Am J Surg 179:486–489
Zelenock GB, Stanley JC (2000) Splanchnic artery aneurysms. In: Rutherford RB (ed) Vascular Surgery, 5th ed. WB Saunders. Philadelphia, pp 1369–1380
Wagner WH, Allins AD, Treiman RL, et al. (1997) Ruptured visceral artery aneurysms. Ann Vasc Surg 11:342–347
Carr SC, Pearce WH, Vogelzang RL, et al. (1996) Current management of visceral artery aneurysms. Surgery 120:627–634
Witte JT, Hasson JE, Harms BA, et al. (1990) Fatal gastric artery dissection and rupture occurring as a paraesophageal mass: a case report and literature review. Surgery 107:590–594
Salam TA, Lumsden AB, Martin LG, et al. (1992) Nonoperative management of visceral aneurysms and pseudoaneurysms. Am J Surg 164:215–219
Balthazar EJ, Fisher LA (2001) Hemorrhagic complications of pancreatitis: radiologic evaluation with emphasis on CT imaging. Pancreatology 1:306–313
Kasirajan K, Greenberg RK, Clair D, et al. (2001) Endovascular management of visceral artery aneurysm. J Endovasc Ther 8:150–155
Baker KS, Tisando J, Cho SR (1987) Splanchnic artery aneurysms and pseudoaneurysms: transcatheter embolization. Radiology 163:135–139
Gabelmann A, Gorich J, Merkle EM (2002) Endovascular treatment of visceral artery aneurysms. J Endovasc Ther 9:38–47
D’Onofrio M, Mansueto G, Gasparini A, et al. (2002) Endovascular management of splanchnic arteries bleeding in pancreato-biliary disease. Radiol Oncol 36:281–290
Yamakado K, Nakatsuka A, Tanaka N, et al. (2000) Transcatheter arterial embolization of ruptured pseudoaneurysms with coils and n-butyl cyanoacrylate. J Vasc Interv Radiol 11:66–72
Chan RP, David E (2004) Reperfusion of splanchnic artery aneurysm following transcatheter embolization: treatment with percutaneous thrombin injection. Cardiovasc Intervent Radiol 27:264–267
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Lee, M.K., Vrazas, J.I. Ruptured Left Gastric Artery Aneurysm: Unique Presentation with Hemothorax and Hemomediastinum. Cardiovasc Intervent Radiol 29, 438–442 (2006). https://doi.org/10.1007/s00270-005-0164-3
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00270-005-0164-3