Gómez-Salazar J, Tovar-López J, Hernández-Rodríguez G, De la Concha-Ureta H

Language: Spanish
References: 6
Page: 25-27
PDF size: 179.98 Kb.

ABSTRACT

Arterial pseudoaneurysm of the lower limb is an infrequent entity, particularly in the infrapopliteal segment. It is commonly associated to vascular repairs or follows a localized arterial lesion, a fracture or a surgical procedure. There is little information in Mexico about this entity in cases involving the anterior tibial artery, and secondary to trauma and osteosynthesis. Given that sudden bleeding due to rupture of the pseudoaneurysm is a possible catastrophic outcome for the viability of the segment, it is important to timely detect and diagnose the pseudoaneurysm. Treatment indications contained in the international literature are controversial. Solution-oriented approaches may be either surgical or endovascular. Current reports show that the best treatment option is an autologous saphenous vein graft, which maintains blood flow and minimizes the risk of peripheral ischemia. The purpose of this paper is to report the case of a patient who sustained the above mentioned complication and provide a literature review. This topic should be further investigated, as this condition may go unnoticed in a large number of cases, given that its symptoms are silent.

REFERENCES

1. Zelent ME, Neese DJ: Posterior tibial artery pseudoaneurysm identified subsequent to surgical wound dehiscence. J Foot Ankle Surg. 2009; 48(1): 56-60.

2. Aiyer S, Thakkar CJ, Samant PD, Verlekar S, Nirawane R: Pseudoaneurysm of the posterior tibial artery following a closed fracture of the calcaneus. A case report. J Bone Joint Surg Am. 2005; 87(10): 2308-12.

3. van Hensbroek PB, Ponsen KJ, Reekers JA, Goslings JC: Endovascular treatment of anterior tibial artery pseudoaneurysm following locking compression plating of the tibia. J Orthop Trauma. 2007; 21(4): 279-82.

4. Bose D, Hauptfleisch J, McNally M: Delayed pseudoaneurysm caused by distal locking screw of a femoral intramedullary nail. A case report. J Orthop Trauma. 2006; 20(8): 584-6.

5. Ferrero E, Ferri M, Viazzo A, Gaggiano A, Berardi G, Piazza S, et al: Rupture of a true giant aneurysm of the posterior tibial artery: a huge size of 6 cm on diameter. Ann Vasc Surg. 2010; 24(8): 1134.e9-13.

6. Musio D, Perfumo MC, Gazzola V, Pane B, Spinella G, Palombo D: A true giant aneurysm of the anterior tibial artery. Ann Vasc Surg. 2015; 29(6): 1319.e5-9.