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Chirurgia 2009 February;22(1):5-8

language: English

Pseudoaneurysms: a retrospective study of 52 patients

Tiryakioglu O., Demirtas S., Goncu T., Yumun G., Ozyazicioglu A.

Department of Cardiovascular Surgery Bursa Yuksek Yhtisas Education and Research Hospital Bursa, Turkey


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Aim. The aim of this study is to retrospectively evaluate 52 patients with pseudoaneurysm who underwent surgical reconstruction in our clinic.
Methods. A total of 52 patients (24 women and 28 men) who underwent surgical operation were included in the study. The mean age was 45.1±20.6. There were pseudoaneurysms of the femoral artery 34 (65.3%), popliteal artery 9 (17.3%), brachial artery 4 (7.7%), axillary artery 2 (3.9%), radial artery 2 (3.9%) and iliac artery 1 (1.9%) patients. Diagnosis was made in 51 (98%) of the patients through clinical evaluation together with Doppler ultrasonography, and in 16 (30,7%) of these DSA and in 12 of them (23%) MRA was performed.
Results. Primary reconstruction was performed in 40 (77%) of all pseudoaneurysms, while interposition with saphenous venous graft was performed in 9 (17%) patients and Polytetrafluoroethy-lene (PTFE) graft was performed in 3 (6%) patients. These patients applied our clinic in a mean of 8 (6-15) days following invasive procedure and within 28 (16-44) days after trauma (p<0.05). Popliteal artery pseudoaneurysms there were mostly penetrating injuries by sharp objects 7 (77%) subjects (P<0.05). Infection developed in 6 subjects; no mortality or amputation was reported.
Conclusion. Surgical reconstruction remains the most effective treatment method in pseudoaneurysms, especially in cases with large aneurysms.

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