Outcome of pseudoaneurysm repair: a single tertiary center experience in Pahang, Malaysia
Introduction: Symptomatic arterial pseudoaneurysm is not an uncommon emergent vascular case presenting to a tertiary hospital. These are mainly associated with infection, iatrogenic puncture or trauma. The resultant morbidity, limb loss and mortality present a challenge to the surgeons managing t...
| Main Authors: | , |
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| Format: | Conference or Workshop Item |
| Language: | English |
| Published: |
Kulliyyah of Medicine, International Islamic University Malaysia
2017
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/59747/ http://irep.iium.edu.my/59747/ http://irep.iium.edu.my/59747/1/59747_%20OUTCOME%20OF%20PSEUDOANEURYSM.pdf |
| Summary: | Introduction: Symptomatic arterial pseudoaneurysm is not an uncommon emergent
vascular case presenting to a tertiary hospital. These are mainly associated with
infection, iatrogenic puncture or trauma. The resultant morbidity, limb loss and
mortality present a challenge to the surgeons managing these cases.
Materials and method: We retrospectively reviewed all case notes of all pseudoaneurysm
repair done at our centre from Jan 2015 to May 2017.
Results: A total of 20 cases were treated surgically, with majority 16(80%) had ligation
of the affected arteries. The rest were managed with reconstruction of the arteries with
synthetic graft. In 7 patients (35%), the aetiology was identified as iatrogenic
intravenous drug injection. Staphylococcus aureus remained the main causative
organism with Treponema Pallidum and Burkholderia pseudomallei as the other
organisms identified in the cultures. Our 3 patients with graft reconstruction had long
term oral antibiotics upon discharge.
Conclusion: Majority of pseudoaneurysms presented to our center results in ligation of
the artery. Repair of mycotic aneurysm needs careful consideration as graft infection
remains a lethal complication and no consensus is available regarding the duration of
post-operative antibiotic cover. |
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