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Aditya Agrawal, MS, FRCS, Richard Whitehouse, MD, FRCS, Robert W

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Presentation on theme: "Aditya Agrawal, MS, FRCS, Richard Whitehouse, MD, FRCS, Robert W"— Presentation transcript:

1 Giant splenic artery aneurysm associated with arteriovenous malformation 
Aditya Agrawal, MS, FRCS, Richard Whitehouse, MD, FRCS, Robert W. Johnson, FRCS, Titus Augustine, MS, FRCS  Journal of Vascular Surgery  Volume 44, Issue 6, Pages (December 2006) DOI: /j.jvs Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Spiral CT images before (A) and after (B) intravenous contrast enhancement show the giant splenic artery aneurysm containing intraluminal thrombus. There is early enhancement of splenic and portal veins and of the venous collateral vessels but no enhancement of the spleen. There is evidence of calcification in the wall of the splenic aneurysm. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Early arterial phase, selective coeliac axis injection, digital subtraction angiogram demonstrates large splenic artery aneurysm containing thrombus (arrowhead). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Late-phase demonstrating filling of a further aneurysm above and to the left of the first aneurysm, with multiple vessels filling around the splenic hilum (arrow) and filling of a dilated portal vein (arrowhead) and hepatic portal branches. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 Intraoperative picture showing the markedly dilated splenic artery with two aneurysms and an enlarged spleen. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

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