Abstract
We present the case of a 61-year-old woman who underwent repair of a symptomatic 4-cm splenic artery aneurysm. This patient had received heart transplantation for hypertrophic congestive cardiomyopathy 5 years before this event. She was under immunosuppression therapy with cyclosporine, prednisone and azathioprine. The aneurysm was ligated both proximally and distally without removal of the spleen. To our knowledge, this is the first reported case of an isolated splenic artery aneurysm in the heart transplant population. We discuss the potential role of immuno-suppressive agents and hormonal factors in the development of this extremely rare occurrence.
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K. Vasiliadis
Dr. K. Vasiliadis, M.D., M.Sc., Ph.D. Dorileou 3, Kalamaria 55 133, Thessaloniki, Greece Tel.: +302310455737 Fax: +30 2310693587 E-mail: [email protected]