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Article |

A Rare Complication of Splenic Artery Aneurysm: Mesenteric Steal Syndrome

Sammie I. Long, MD
Arch Surg. 1996;131(10):1116. doi:10.1001/archsurg.1996.01430220110029.
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This letter is in reference to a case report by Sendra et al1 that appeared in the June 1995 issue of the Archives. As the angiographer who performed the diagnostic and interventional arteriograms, I would like to share with the authors and Archives readers 2 facts and a more inclusive opinion concerning the mesenteric ischemia.

In the "Report of a Case" section it is stated: "She... had undergone no surgical procedures in the past."1 Hospital records indicate that 8 months before admission, this patient underwent a primary classic cesarean section and bilateral tubal ligation. Arteriovenous fistulas between the uterine artery and vein have been reported following hysterectomy.2

During the description of the surgical procedure, the "angioplasty balloon" is described as being deflated. The balloon used for splenic artery occlusion was an 8.5-mm occlusion balloon, which is more easily placed, less traumatic to intima, and hence less prone


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