Background Splenic artery aneurysms (SAA) are the most frequent visceral artery aneurysms. Large and symptomatic aneurysms have an increased risk for rupture and should be treated interventionally or surgically. Methods We describe the case of a 44-year-old male patient with a possibly mycotic splenic artery aneurysm of approximately 12 cm in diameter. Results As a result of a consensus in an interdisciplinary case discussion, endovascular embolization was successfully performed. No late complications occurred during a 3- year follow-up. Conclusion Minimal-invasive percutaneous transcatheter embolization was an effective and safe treatment for a large SAA. As there are no evidence-based guidelines, the decision whether to treat interventionally or surgically must be made individually.
André Lollert,
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