{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T05:18:42Z","timestamp":1788585522320,"version":"build-2803163510"},"reference-count":23,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,3,6]],"date-time":"2023-03-06T00:00:00Z","timestamp":1678060800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vascular"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the complex management of arterial anomalies in Vascular Ehlers-Danlos Syndrome (vEDS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We report the case of a 34-year-old male, diagnosed with vEDS, who presented with acute intraperitoneal hemorrhage caused by the rupture of a splenic artery aneurysm, treated in emergency with coil embolization and splenectomy. Computed Tomography (CT) scan showed the concomitant presence of right renal artery (RRA) and common hepatic artery (CHA) aneurysms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Both aneurysms were conservatively managed and the patient went through serial CT imaging. After 3 months, rapid regression of the vascular abnormalities led to complete disappearing of RRA and CHA aneurysms, confirmed at 24-month imaging follow-up. In the same time span, two pseudoaneurysms developed in other sites used for transarterial access, requiring two secondary interventions. The present case emphasizes the unpredictability of disease\u2019s evolution and arterial complications in vEDS. Conservative management of complex lesions such as visceral artery aneurysms, which in this case resulted to be the best strategy, avoided the risks associated with surgical intervention in such fragile tissues. The reported complications underline that operative indications should be carefully weighed in these patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17085381231162126","type":"journal-article","created":{"date-parts":[[2023,3,6]],"date-time":"2023-03-06T18:48:05Z","timestamp":1678128485000},"page":"909-915","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Disappearing multiple visceral aneurysms in Vascular Ehlers-Danlos syndrome"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2477-6562","authenticated-orcid":false,"given":"Federico Francisco","family":"Pennetta","sequence":"first","affiliation":[{"name":"San Giovanni\u2013Addolorata Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ciro","family":"Ferrer","sequence":"additional","affiliation":[{"name":"San Giovanni\u2013Addolorata Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Tonidandel","sequence":"additional","affiliation":[{"name":"San Giovanni\u2013Addolorata Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"Coscarella","sequence":"additional","affiliation":[{"name":"San Giovanni\u2013Addolorata Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Vagnarelli","sequence":"additional","affiliation":[{"name":"San Giovanni\u2013Addolorata Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rocco","family":"Giudice","sequence":"additional","affiliation":[{"name":"San Giovanni\u2013Addolorata Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,3,6]]},"reference":[{"issue":"11","key":"e_1_3_3_2_2","first-page":"E274","article-title":"Serial CT imaging of rapid progression and spontaneous regression of multiple arterial abnormalities in a patient with vascular ehlers-danlos syndrome vascular disease","volume":"11","author":"Chan DM","year":"2014","unstructured":"Chan DM. Serial CT imaging of rapid progression and spontaneous regression of multiple arterial abnormalities in a patient with vascular ehlers-danlos syndrome vascular disease. 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Vascular Ehlers-Danlos Syndrome. In: Adam MP, Everman DB, Mirzaa GM, et al. (eds) GeneReviews\u00ae [Internet]. Seattle, WA: University of Washington, Seattle, 1999, pp. 1993\u20132022. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK1494\/. Sep 2 [Updated 2019 Feb 21]."},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.03.045"},{"issue":"11","key":"e_1_3_3_14_2","first-page":"2282","article-title":"GI manifestations of Ehlers-Danlos syndrome","volume":"91","author":"Solomon JA","year":"1996","unstructured":"Solomon JA, Abrams L, Lichtenstein GR. GI manifestations of Ehlers-Danlos syndrome. 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Dosage error in published abstract; MEDLINE\/PubMed abstract corrected; Dosage error in article text]. Lancet. 2010;376(9751):1476\u20131484. 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