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: | Proceeding Paper |
| 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/59747/1/59747_%20OUTCOME%20OF%20PSEUDOANEURYSM.pdf |
| _version_ | 1848785365330034688 |
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| author | Othman, Ahmad Faidzal Abdul Rahman, Mohd Norhisham Azmi |
| author_facet | Othman, Ahmad Faidzal Abdul Rahman, Mohd Norhisham Azmi |
| author_sort | Othman, Ahmad Faidzal |
| building | IIUM Repository |
| collection | Online Access |
| 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. |
| first_indexed | 2025-11-14T16:51:59Z |
| format | Proceeding Paper |
| id | iium-59747 |
| institution | International Islamic University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T16:51:59Z |
| publishDate | 2017 |
| publisher | Kulliyyah of Medicine, International Islamic University Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | iium-597472017-12-05T07:41:41Z http://irep.iium.edu.my/59747/ Outcome of pseudoaneurysm repair: a single tertiary center experience in Pahang, Malaysia Othman, Ahmad Faidzal Abdul Rahman, Mohd Norhisham 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 of Medicine, International Islamic University Malaysia 2017 Proceeding Paper PeerReviewed application/pdf en http://irep.iium.edu.my/59747/1/59747_%20OUTCOME%20OF%20PSEUDOANEURYSM.pdf Othman, Ahmad Faidzal and Abdul Rahman, Mohd Norhisham Azmi (2017) Outcome of pseudoaneurysm repair: a single tertiary center experience in Pahang, Malaysia. In: Medical Research Symposium & Pacific Partnership in conjunction with Kuantan Research Day 2016, 3rd-5th August 2016, Kuantan, Pahang. http://iiumedic.net/imjm/v1/download/Volume%2016%20No%201%20Supp%201/Abstract-Book-for-IMJM-final-v2-24.pdf |
| spellingShingle | RD Surgery Othman, Ahmad Faidzal Abdul Rahman, Mohd Norhisham Azmi Outcome of pseudoaneurysm repair: a single tertiary center experience in Pahang, Malaysia |
| title | 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_short | 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 |
| topic | RD Surgery |
| url | http://irep.iium.edu.my/59747/ http://irep.iium.edu.my/59747/ http://irep.iium.edu.my/59747/1/59747_%20OUTCOME%20OF%20PSEUDOANEURYSM.pdf |