Ondokuz Mayis University Faculty of Medicine, Department of Cardiovascular Surgery, Samsun, Turkey.
Hellenic J Cardiol. 2010 Jan-Feb;51(1):37-41.
Peripheral arterial aneurysms (PAA) may rupture, cause emboli and ischemia, and local symptoms due to compression.
A total of 109 patients who underwent surgery for PAA were analyzed retrospectively, including clinical presentation, surgical procedures used, and postoperative follow-up data obtained 10 days after discharge.
True aneurysm was present in 59 (54.1%) patients and pseudoaneurysm in 50 (45.9%). The femoral artery was the most common location. The surgical procedures used were as follows: graft interposition in 31 patients, bypass with synthetic or autologous grafts in 33 patients, aneurysm ligation in 5 patients, primary repair in 41 patients, and patch angioplasty reconstruction in 7 patients. One patient died as a result of massive hemorrhage. In four patients, amputation had to be performed.
It is possible to prevent amputation and other complications, including mortality, during the surgical treatment of symptomatic and asymptomatic PAA.
外周动脉动脉瘤（PAA）可能会破裂，导致栓塞和缺血，并因压迫而出现局部症状。
回顾性分析了 109 例行 PAA 手术的患者，包括临床表现、使用的手术程序以及出院后 10 天获得的术后随访数据。
真性动脉瘤 59 例（54.1%），假性动脉瘤 50 例（45.9%）。最常见的部位是股动脉。使用的手术程序如下：31 例患者行移植物间置术，33 例患者行合成或自体移植物旁路术，5 例患者行动脉瘤结扎术，41 例患者行一期修复术，7 例患者行补片血管成形术重建术。1 例患者因大出血死亡。4 例患者不得不进行截肢。
在外周动脉动脉瘤（PAA）的手术治疗中，有可能预防包括死亡在内的截肢和其他并发症。
