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 thes...

Full description

Bibliographic Details
Main Authors:	Othman, Ahmad Faidzal, Abdul Rahman, Mohd Norhisham Azmi, Abdul Rahman, Azmi
Format:	Article
Language:	English
Published:	Kulliyyah (Faculty) of Medicine, International Islamic University Malaysia 2017
Subjects:	RD Surgery
Online Access:	http://irep.iium.edu.my/64396/ http://irep.iium.edu.my/64396/ http://irep.iium.edu.my/64396/1/Outcome%20of%20pseudoaneurysm%20repair.pdf

id	iium-64396
recordtype	eprints
spelling	iium-643962018-07-04T08:40:10Z http://irep.iium.edu.my/64396/ Outcome of pseudoaneurysm repair: a single tertiary center experience in Pahang, Malaysia Othman, Ahmad Faidzal Abdul Rahman, Mohd Norhisham Azmi Abdul Rahman, Azmi RD Surgery 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. Kulliyyah (Faculty) of Medicine, International Islamic University Malaysia 2017-09-15 Article PeerReviewed application/pdf en http://irep.iium.edu.my/64396/1/Outcome%20of%20pseudoaneurysm%20repair.pdf Othman, Ahmad Faidzal and Abdul Rahman, Mohd Norhisham Azmi and Abdul Rahman, Azmi (2017) Outcome of pseudoaneurysm repair: a single tertiary center experience in Pahang, Malaysia. The International Medical Journal Malaysia, 16 (Supplementary 1). p. 18. E-ISSN 1823-4631 http://iiumedic.net/imjm/v1/download/Volume%2016%20No%201%20Supp%201/Abstract-Book-for-IMJM-final-v2-24.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RD Surgery
spellingShingle	RD Surgery Othman, Ahmad Faidzal Abdul Rahman, Mohd Norhisham Azmi Abdul Rahman, Azmi Outcome of pseudoaneurysm repair: a single tertiary center experience in Pahang, Malaysia
description	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.
format	Article
author	Othman, Ahmad Faidzal Abdul Rahman, Mohd Norhisham Azmi Abdul Rahman, Azmi
author_facet	Othman, Ahmad Faidzal Abdul Rahman, Mohd Norhisham Azmi Abdul Rahman, Azmi
author_sort	Othman, Ahmad Faidzal
title	Outcome of pseudoaneurysm repair: a single tertiary center experience in Pahang, Malaysia
title_short	Outcome of pseudoaneurysm repair: a single tertiary center experience in Pahang, Malaysia
title_full	Outcome of pseudoaneurysm repair: a single tertiary center experience in Pahang, Malaysia
title_fullStr	Outcome of pseudoaneurysm repair: a single tertiary center experience in Pahang, Malaysia
title_full_unstemmed	Outcome of pseudoaneurysm repair: a single tertiary center experience in Pahang, Malaysia
title_sort	outcome of pseudoaneurysm repair: a single tertiary center experience in pahang, malaysia
publisher	Kulliyyah (Faculty) of Medicine, International Islamic University Malaysia
publishDate	2017
url	http://irep.iium.edu.my/64396/ http://irep.iium.edu.my/64396/ http://irep.iium.edu.my/64396/1/Outcome%20of%20pseudoaneurysm%20repair.pdf
first_indexed	2023-09-18T21:31:25Z
last_indexed	2023-09-18T21:31:25Z
_version_	1777412536110415872

Outcome of pseudoaneurysm repair: a single tertiary center experience in Pahang, Malaysia

Similar Items