Spontaneous isolated celiac and splenic artery dissection

Authors

  • Daniel Brandão Angiology and Vascular Surgery Department, CUF Porto Hospital, Portugal; Angiology and Vascular Surgery Unit, Faculty of Medicine of the University of Porto, Portugal https://orcid.org/0009-0003-7634-2074
  • Paulo Barreto Angiology and Vascular Surgery Department, CUF Porto Hospital, Portugal; Angiology and Vascular Surgery Unit, Faculty of Medicine of the University of Porto, Portugal
  • Joana Ferreira Angiology and Vascular Surgery Department, CUF Porto Hospital, Portugal https://orcid.org/0000-0001-6761-4881
  • José Lopes Angiology and Vascular Surgery Department, CUF Porto Hospital, Portugal; Angiology and Vascular Surgery Unit, Faculty of Medicine of the University of Porto, Portugal
  • Joel Sousa Angiology and Vascular Surgery Department, CUF Porto Hospital, Portugal; Angiology and Vascular Surgery Unit, Faculty of Medicine of the University of Porto, Portugal https://orcid.org/0000-0002-7881-7702
  • Armando Mansilha Angiology and Vascular Surgery Department, CUF Porto Hospital, Portugal; Angiology and Vascular Surgery Unit, Faculty of Medicine of the University of Porto, Portugal https://orcid.org/0000-0002-6722-0476

DOI:

https://doi.org/10.48750/acv.558

Keywords:

Arterial dissection, celiac artery, splenic artery, pseudoaneurysm, endovascular treatment

Abstract

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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References

Morgan Courtney E, Mansukhani Neel A, Eskandari Mark K, Rodriguez Heron E. Ten-year review of isolated spontaneous mesenteric arterial dissections. J Vasc Surg 2018;67:1134–42.

Aciu SP, Petrochko J, Bassik N, Fisher J. Spontaneous isolated celiac and splenic artery dissection with splenic infarction. Radiol Case Rep 2022;17:2085-91

Akihiro H, Masaru N, Tetsuro M. Outcomes of conservative management of spontaneous celiac artery dissection. J Vasc Surg 2017;65:760-5

Hiroaki S, Manabu K, Masamichi Y, Shuichiro K, Koichi A, Yutaka F, et al. Clinical features of spontaneous isolated dissection of abdominal visceral arteries. J Clin Med Res 2020;12:13–7

Ebaugh James L, Chew David K. Coil embolization of an acutely expanding spontaneous splenic artery dissection. J Vasc Surg Cases Innov Tech 2018;4:144–6

Jeet L, Kumar V. Spontaneous Celiac Artery Dissection Leading to Acute Pancreatitis. Chest 2015;148:258A.

Björck M, Koelemay M, Acosta S, Bastos Goncalves F, Kölbel T, Kolkman JJ et al. Management of the Diseases of Mesenteric Arteries and Veins. Clinical Practice Guidelines of the European Society of Vascular Surgery. Eur J Vasc Endovasc Surg 2017;53:460-510

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Published

2023-11-26

How to Cite

1.
Brandão D, Barreto P, Ferreira J, Lopes J, Sousa J, Mansilha A. Spontaneous isolated celiac and splenic artery dissection. Angiol Cir Vasc [Internet]. 2023 Nov. 26 [cited 2024 Feb. 25];19(3):183-5. Available from: https://acvjournal.com/index.php/acv/article/view/558

Issue

Section

Review Article