PMC4089775_01
CT before the stent - graft implantation procedure, with contrast medium, arterial phase. Contrast medium and parietal thrombus filling partially lumen of aneurysm.
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Computed tomography with contrast confirmed the diagnosis of splenic artery aneurysm, 128x89x100 mm in diameter (Figure 1).
Digital subtraction angiography of celiac trunk. Rapid contrast inflow to aneurysm.
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Celiac trunk angiography was performed by puncturing the femoral vein using Seldinger method and splenic artery aneurysm, 75x47 mm in size, was visualized (Figure 2A, 2B).
Control digital subtraction angiography immediately after the implantation of the stent - graft. Trace contrast inflow to aneurysm, splenic artery blood flow partially preserved.
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Inflow into the splenic artery was practically cut off and only minute blood flow into the aneurysm was demonstrated (Figure 3).
Control CT 12 days after procedure, without contrast. Well visualized the stent - graft in celiac trunk - common hepatic artery.
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Computed tomography was performed 12 days after stentgraft implantation (Figures 4 and 5).
Control CT 12 days after the procedure, with contrast, arterial phase. No inflow of contrast to aneurysm.
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Computed tomography was performed 12 days after stentgraft implantation (Figures 4 and 5). However, no inflow of contrasted blood was visualized within the lumen of the aneurysm (Figure 5) and its dimensions decreased to 109x80 mm.
Control CT 12 days after the procedure, with contrast, arterial phase. Splenic infarction.
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The spleen became enhanced in only 50% following administration of contrast medium - partial splenic infarction was diagnosed (Figure 6).