Diagnosis, Localization, Treatment and Results of Peripheric Pseudoaneurysms
1Department of Cardiovascular Surgery Erciyes University Medical Faculty, Kayseri, Turkey
J Clin Pract Res 2008; 30(4): 297-301
Full Text PDF (Turkish)

Abstract

In this study, causes, surgical technique, and early results of operated periferic pseudoaneurysms were examined.Fourthy four pseudoaneurysms in 42 cases were operated between 28 February 2000 and 12 December 2007. Twentythree of the cases were (% 54.76) female and 19 were (%45.24) male. Their ages were between 10 months and 80 years and mean age was 54.9 years. Physical examination and dupplex ultrasound were performed routinely for diagnosis and angiography in only one patient. Common ethiologic cause was complications of interventional procedures in 35 of the cases and most preferred surgical technique was primary repair in 34 cases. Two patients was reoperated because of haematoma and one patient in whom primary repair was performed, was reoperated twice and synthetic graft was used for repair. Mean hopitalization period was 13.8 days. One patient died from septic shock two days after the operation and during follow up of 100 days 4 patients had died because of their chronic illnesses.


Periferik Yalancı Anevrizmaların Tanısı, Lokalizasyonları, Tedavisi ve Sonuçları
1Department of Cardiovascular Surgery Erciyes University Medical Faculty, Kayseri, Turkey
Journal of Clinical Practice and Research 2008; 4(30): 297-301

Bu çalışmada yalancı anevrizma nedeniyle ameliyat edilen 42 olgunun yaralanma nedenleri, uygulanan cerrahi teknikler ve erken dönem sonuçları sunuldu. Olguların 23'ü kadın (54,76), 19'u ise erkekti (%45,24). Yaşları 10 ay ile 80 yıl arasında değişen olgularda, ortalama yaş 54,9 olarak bulundu. Tanı, fizik muayene ve doppler US ile konurken, 1 hastada anjiografi uygulandı. En sık görülen etyolojik neden 35 hastada girişimsel işlem komplikasyonu iken, primer onarım 34 hastada en sık tercih edilen cerrahi teknikti. İki olguda hematom nedeni ile bir kez, primer onarım uygulanan 1 olguda ise tekrar gelişen yalancı anevrizma nedeni ile sentetik greft ile cerrahi onarım uygulandı. Ortalama yatış süresi 13,8 gün olarak bulundu. Septik şok nedeni ile operasyondan iki gün sonra kaybedilen bir olgu dışında ilk 100 günlük takipler süresinde, 4 olgu cerrahi dışı nedenlerle kaybedildi.