ORIGINAL ARTICLES   

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

Copyright © 2009 EDIZIONI MINERVA MEDICA

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

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.