Bibliogr. s. 49-50

Background: Aneurysms of visceral arteries, including splenic artery, are relatively rare vascular pathology. Currently they are diagnosed more and more commonly due to widespread application of imaging procedures in diagnostics of other abdominal conditions. Splenic artery aneurysm develops often asymptomatically, and its rupture is associated with a high mortality rate. Hence, elective treatment of such aneurysms is suggested as a prophylaxis of the rupture. Material/Methods: This report contains presentation of treatment outcome of nine patients with splenic aneurysms (10 aneurysms) treated in the years 2001-2006. In eight cases the treatment involved endovascular placement of metal embolisation coil into the aneurysm sac. In one female patient with two splenic artery aneurysms, following dissection of the proximal aneurysm and end-to-end anastomosis of the artery, the latter was repaired endovascularly in a delayed procedure. Results: In none of the described cases any serious complications were observed. Complete occlusion of the aneurysm lumen following endovascular procedure was observed in 7 of 9 cases (77.8%). Moreover, we managed to spare the spleen in all the described cases. Conclusions: Endovascular techniques provide a good alternative for open surgery in treatment of the splenic artery aneurysm, although the latter is still the treatment of choice in cases of rupture of visceral artery aneurysm.