[Management of true extremity aneurysms: experience in 23 patients].
OBJECTIVE
To explore the etiologic feature and specificity of diagnosis and treatment in true aneurysms of the extremities.


METHODS
23 patients with true aneurysms of the extremities from January 1984 to September 1997 were retrospectively reviewed.


RESULTS
Of 30 true aneurysms of the extremities, multiple aneurysms were found in 7 patients (30.4%). The multiple aneurysms were diagnosed in the same time or in different time. 21 patients were treated by exclusion of aneurysm and replacement with autogenous saphenous vein or graft.


CONCLUSIONS
Early diagnosis and treatment are recommended to prevent complications which can cause limb loss, and multiple aneurysms must be taken into account. Importance of arteriography should be stressed in the diagnosis of multiple aneurysms. Exclusion of aneurysm and autogenous saphenous vein reconstruction is the first choice of treatment, circulation of the operated extremities should be noticed and close follow-up is imperative to pay attention to the development of new aneurysms.
Hu
H
H
Department of Surgery, first Hospital of China Medical University, Shenyang 110001.
Feng
Y
Y
Wang
X
X
Zhang
J
J
Zhu
G
G
Zhang
Q
Q
Duan
Z
Z
D000293:Adolescent; D000328:Adult; D000368:Aged; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000601:surgery*; D001132:Arm / Q000098:blood supply*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D016896:Treatment Outcome