J Korean Orthop Assoc.
2002 Oct;37(5):678-681.
Traumatic False Aneurysm: Report of Two Cases
- Affiliations
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- 1Department of Orthopaedic Surgery, College of Medicine, Hallym University, Seoul, Korea. eyebone@chollian.net
Abstract
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False aneurysm is one of the complications of untreated arterial injury. Most traumatic aneurysms in the extremities are false, and they are usually caused by penetrating trauma. The pathogenesis of false aneurysm is initiated by a damaged artery that allows hemorrhage into surrounding soft tissue, an encapsulated hematoma is then formed, which undergoes organization, with invasion of fibrin and con-nective tissue, and the endothelialization of its central cavity, which communicates with the arterial defect, forming the false aneurysm. We experienced two cases of traumatic false anerysm of a left anterior tibial artery and a right radial artery, which were treated successfully by end-to-end anastomosis in the former and a saphenous vein graft in the latter.