title: Surgical management of femoral artery pseudoaneurysms secondary to drug abuse.
abstract: OBJECTIVE
  To assess the outcome of surgical management of mycotic false aneurysms due to local injury after intravenous injection of drugs.
  
  
  METHODS
  Case series.
  
  
  METHODS
  Department of Surgery, Kerman Medical School of Sciences, Kerman, Iran, from July 2001 to June 2009.
  
  
  METHODS
  Twenty one consecutive patients presenting with infected femoral artery pseudoaneurysms (IFAPs) secondary to parenteral drug abuse treated in our department were studied. Data analyzed included demographic characteristics, modes of presentation, side of involvement, management and outcome.
  
  
  RESULTS
  All patients were male with mean age of 32.2 ± 5.2 years. All presented with pain and swelling in the groin. Five patients presented with significant hemorrhage. The locations were the left side in 9 cases and the right side in 12 cases. The injured artery was the common femoral artery and its bifurcation. In 14 patients (64%), ligation-excision was carried out. In 5 patients (26%), primary repair of the artery with over-sewing was done. In 2 patients (10%), revascularization with saphenous interposition was carried out. Below-knee amputation was necessary in 1 patient who underwent ligationexcision. One patient died due to severe septicemia.
  
  
  CONCLUSIONS
  Ligation of IFAPs is an effective, safe and simple option. Primary repair with preservation of the native vessel is suggested if infection is limited.
authors.affiliation: Department of Surgery, Afzalipour Hospital, Imam Khomeiny Highway, Kerman, Islamic Republic of Iran. lashkarizadeh@kmu.ac.ir
authors.forename: Mohammad Reza
authors.initials: MR
authors.lastname: Lashkarizadeh
authors.forename: Mohammad
authors.initials: M
authors.lastname: Ashrafganguie
authors.forename: Majid
authors.initials: M
authors.lastname: Ashrafganguie
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D000792:Angiography; D003646:Debridement; D005263:Femoral Artery / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D010808:Physical Examination; D012189:Retrospective Studies; D015819:Substance Abuse, Intravenous / Q000150:complications*; D013536:Suture Techniques; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*; D055815:Young Adult