ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
DIAGNOSIS AND TREATMENT IN PSEUDOANEURYSMS
Akın E. BALCI, Ömer ÇAKIR, Şevval EREN, Cemal ÖZÇELİK, Nesimi EREN
Dicle Üniversitesi Tıp Fakültesi, Göğüs Kalp Damar Cerrahisi Anabilim Dalı
In this study, we examined 33 pseudoaneurysm patients operated on between 1987-1988 in Dicle University School of Medicine Thoracic and Cardiovascular Surgery Clinic. Male/female ratio and mean age of our patients were 12/9 and 35.8 ± 3.68 (range: 6-70) respectively. The most frequent signs were pulsatil hematoma and thrill.The diganosis of the pseudoaneurysm was established with physicial examination in 12 (%36.3), with angiography in 8 (%24.2), with ultrasonography in 7 (%21.2), with coloured doppler ultrasonography in 5 (%15.1) and with computerized tomography in 5 (%15.1) and with computerized tomography in 4cases (%12.1). Localization were a. femoralis 13 (%39.3), a. poplitea 3 (%9.0), a. carotis communis 2 (%6.0), a. brachialis 2 (%6.0), a. interossea 2 (%6.0), a .radialis 3 (%9), a. ulnaris 2 (%6.0) and a. carotis interna 1 case (%3). The most frequent causes in etyology were trauma responsible for 18 (%56) and vascular catheteterisation 6 (%19.3) of all 33 patients. Surgical methods performed were bypass with otojen vein graft 11 (%13.3), ligation 3 (%9.0) accompanied with aneurysmectomy. We report our clinical experiences with a review of the literature.
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