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TRAUMATIC PSEUDOANEURYSMS

DOI

64

Citations

0

References

1976

Year

PRAFULL V. BOLE, Rino Munda, RICHARD T. PURDY, Adam Lande, Rolando Gómez, Roy H. Clauss, Kirk K. Kazarian, Walter L. Mersheimer
The Journal of Trauma: Injury, Infection, and Critical Care

Abstract

The management of 23 patients with traumatic pseudoaneurysms is presented. A pulsatile mass associated with pain was the usual presentation. Hypertension and hypovolemic shock from rupture are uncommon presentations but potential hazards of this lesion. Twenty-one pseudoaaeurysms were treated surgically. Resection with end-to-end anastomosis (eight patients), with graft replacement (one patient), with lateral repair (seven patients) was done. Hypothermia with circulatory arrest and external Dacron shunt were used to prevent visceral ischemia during high aortic occlusion. There were no mortalities or significant postoperative complications.