What condition is indicated for surgical repair of splenic artery aneurysms?

Surgical repair of splenic artery aneurysms is indicated primarily for symptomatic aneurysms. This is because symptomatic aneurysms pose a higher risk of complications, such as rupture, which can lead to significant morbidity and mortality. When a patient presents with symptoms related to the aneurysm, such as abdominal pain, signs of hemorrhage, or other complications, immediate surgical intervention is often warranted to prevent further deterioration of the patient's condition.

In contrast, asymptomatic aneurysms, particularly those that are small (less than 2 cm in size), may be monitored and managed conservatively rather than requiring surgical repair. Even in males, asymptomatic status generally doesn’t necessitate surgery, unless other risk factors or indications are present. Thus, the clear indication for surgical intervention focuses on the presence of symptoms associated with the aneurysm, making it a priority to address those cases to mitigate the risks involved.