Surgical management of infective posttraumatic pseudoaneurysms in 12 cases

Objective：To investigate the effect of surgical therapy for the infective post-traumatic pseudoaneurysms.Methods：Ages of the patients were 15～65 years，the averge ages 32 years，hospitalization to operation were two days～five days.The methods of different operation were selected according to the type of vascular injuries.Simple ligation was performed on 3 cases，transaneurysm artery defect suture on 3 cases，auto-vein or artificial blood vessel extra-anatomic bypass on 6 cases.Results：Perioperalive period no died.All patients were followed-up survey 3 months to 1year，Wound healing was Ⅰ intention on 5 cases，Ⅱ intention on 5 cases.After three months，auto-vein graft had obliterated.Artificial blood vessel graft had anastomotic stoma stricture on 2 cases，post-operative six months 、one year，respectively. Conclusions：Surgical therapy was safeness for the infective aneurysm at early stage.Clearing necrosis tissue completely and reconstruction of artery is an effective means that treat infective post-traumatic pseudoaneurysms.