INTRODUCTION: We present a patient with a true anterior tibial artery aneurysm without any causative history. PRESENTATION OF CASE: A 59 year old male was referred with a swelling on his left lateral ankle which he noticed 2 months ago, with symptoms of soaring pain. Additional radiological research showed a true arterial tibialis anterior aneurysm. True anterior tibial artery aneurysm is a rare condition. The aneurysm was repaired by resection and interposition of a venous bypass. DISCUSSION: Patients may complain about symptoms like calf pain, distal ischemia, paresthesias due to nerve compression and the presence of a pulsating or increasing mass. Symptomatic aneurysms require surgical intervention, where bypass with a venous saphenous graft have shown good patency and endovascular treatment have shown good short term results. Asymptomatic and small aneurysm can be followed for several years with DUS. CONCLUSION: Clinical features, radiographic findings, surgical management, and a review of the literature on true anterior tibial aneurysms are discussed.
INTRODUCTION: We present a patient with a true anterior tibial artery aneurysm without any causative history. PRESENTATION OF CASE: A 59 year old male was referred with a swelling on his left lateral ankle which he noticed 2 months ago, with symptoms of soaring pain. Additional radiological research showed a true arterial tibialis anterior aneurysm. True anterior tibial artery aneurysm is a rare condition. The aneurysm was repaired by resection and interposition of a venous bypass. DISCUSSION: Patients may complain about symptoms like calfpain, distal ischemia, paresthesias due to nerve compression and the presence of a pulsating or increasing mass. Symptomatic aneurysms require surgical intervention, where bypass with a venous saphenous graft have shown good patency and endovascular treatment have shown good short term results. Asymptomatic and small aneurysm can be followed for several years with DUS. CONCLUSION: Clinical features, radiographic findings, surgical management, and a review of the literature on true anterior tibial aneurysms are discussed.
Authors: F Faccenna; A Alunno; M M G Felli; A Castiglione; P Izzo; B Gossetti; F Stagnitti; A Laurito; L Izzo; R Gattuso Journal: G Chir Date: 2011 Aug-Sep