Clay P Wiske1, Nathan K Itoga2, Brant W Ullery2, Kenneth J Hunt2, Venita Chandra2. 1. Warren Alpert Medical School, Brown University, Providence, Rhode Island. 2. Division of Vascular Surgery (N.K.I., B.W.U., and V.C.) and Department of Orthopaedic Surgery (K.J.H.), Stanford University School of Medicine, Stanford, California.
Abstract
CASE: We describe the case of a pseudoaneurysm of the dorsalis pedis artery that developed following a repeat ankle arthroscopy for persistent osseous impingement. The patient underwent attempted fluid aspiration for a presumed effusion, and ultimately experienced rupture of the pseudoaneurysm with substantial blood loss, which required emergency vascular repair. CONCLUSION: Anterior tibial artery and dorsalis pedis artery pseudoaneurysms are relatively rare, but they are well-documented complications of ankle arthroscopy; however, their clinical importance is poorly understood. To our knowledge, this is the first reported case of a ruptured pseudoaneurysm of the dorsalis pedis artery following ankle surgery, and it highlights the need for timely diagnosis.
CASE: We describe the case of a pseudoaneurysm of the dorsalis pedis artery that developed following a repeat ankle arthroscopy for persistent osseous impingement. The patient underwent attempted fluid aspiration for a presumed effusion, and ultimately experienced rupture of the pseudoaneurysm with substantial blood loss, which required emergency vascular repair. CONCLUSION: Anterior tibial artery and dorsalis pedis artery pseudoaneurysms are relatively rare, but they are well-documented complications of ankle arthroscopy; however, their clinical importance is poorly understood. To our knowledge, this is the first reported case of a ruptured pseudoaneurysm of the dorsalis pedis artery following ankle surgery, and it highlights the need for timely diagnosis.
Authors: R Katzenschlager; A Ugurluoglu; A Ahmadi; M Hülsmann; R Koppensteiner; E Larch; T Maca; E Minar; A Stümpflen; H Ehringer Journal: Radiology Date: 1995-05 Impact factor: 11.105