Email this article Case report of a massive pseudoaneurysm of the anterior tibial artery
- Authors: Dorn A.1, Galkin P.1, Kalmykov E.1, Majd P.1
-
Affiliations:
- Evangelical Hospital Bergisch Gladbach
- Issue: Vol 29, No 2 (2021)
- Pages: 293-298
- Section: Clinical reports
- URL: https://journals.rcsi.science/pavlovj/article/view/70498
- DOI: https://doi.org/10.17816/PAVLOVJ70498
- ID: 70498
Cite item
Open Access
Access granted
Subscription Access
Abstract
The majority of arterial pseudoaneurysms treated in our department of vascular surgery are consequences of catheter-associated medical procedures and located in the groin region. Clinical signs, combined with the recent history of a percutaneous intervention, ensure quick diagnosis and therapy. However, pseudoaneurysms can develop after any artery of the body is injured. No consensus on the therapeutic strategy is achieved because of the rare nature of this injury. This study provided an overview of the methods described in previous studies and contributions to their clinical experience.
A case of a young man whose injury was not recognized immediately and who presented months after the accident with a pseudoaneurysm of unusual location and size was reported. Sonographic diagnosis was confirmed through computed tomography angiography, and open surgical repair was performed with satisfactory results.
Conclusion. This case is a reminder that seemingly minor accidents can cause arterial injury, and patients should be carefully examined to avoid delayed diagnosis and therapy.
Full Text
##article.viewOnOriginalSite##About the authors
Anna Dorn
Evangelical Hospital Bergisch Gladbach
Author for correspondence.
Email: as.dorn@yahoo.de
ORCID iD: 0000-0003-4822-5041
Physician of the Clinic for Vascular and Endovascular Surgery
Germany, Bergisch GladbachPeter Galkin
Evangelical Hospital Bergisch Gladbach
Email: p.galkin@uk-koeln.de
ORCID iD: 0000-0003-2666-5337
MD, Dr.Sci.(Med.), Senior Physician, Specialist in Vascular Surgery, Clinic for Vascular Surgery, Department of Vascular and Endovascular Surgery
Germany, Bergisch GladbachEgan Kalmykov
Evangelical Hospital Bergisch Gladbach
Email: info@helios-international.com
ORCID iD: 0000-0001-6784-2243
ResearcherId: K-9827-2013
MD, Dr.Sci.(Med.), Department of Vascular and Endovascular Surgery
Germany, Bergisch GladbachPayman Majd
Evangelical Hospital Bergisch Gladbach
Email: mir.majd@uk-koeln.de
ORCID iD: 0000-0002-5835-8318
Chief physician, Specialist in surgery, Specialist in vascular surgery, Endovascular surgeon, Clinic for Vascular Surgery, Department of Vascular and Endovascular Surgery
Germany, Bergisch GladbachReferences
- Tisi PV, Callam MJ. Treatment for femoral pseudoaneurysms. The Cochrane Database of Systematic Reviews. 2009; (2):CD004981. doi: 10.1002/14651858.CD004981.pub3
- Webber GW, Jang J, Gustavson S, et al. Contemporary management of postcatheterization pseudoaneurysms. Circulation. 2007;115(20):2666-74. doi: 10.1161/CIRCULATIONAHA.106.681973
- Fraser JD, Cully BE, Rivard DC, et al. Traumatic pseudoaneurysm of the anterior tibial artery treated with ultrasound-guided thrombin injection in a pediatric patient. Journal of Pediatric Surgery. 2009;44(2):444-7. doi: 10.1016/j.jpedsurg.2008.08.027
- Sautet P, Choufani E, Petit P, et al. Pseudoaneurysm of anterior tibial artery following a diaphyseal fracture of the tibia mimicking a malignant bone tumor. Archives of Orthopaedic and Trauma Surgery. 2016;136(9):1247-50. doi: 10.1007/s00402-016-2525-6
- Elens S, Bossu N, Puech P, et al. Two Rare Cases of Posttraumatic Peripheral Artery Pseudoaneurysm. Journal of the Belgian Society of Radiology. 2016;100(1):112. doi: 10.5334/jbr-btr.1150
- Gratl A, Klocker J, Glodny B, et al. Treatment options of crural pseudoaneurysms. Vasa. 2014;43(3):209-15. doi: 10.1024/0301-1526/a000351
- Yammine K, Kheir N, Daher J, et al. Pseudoaneurysm following ankle arthroscopy: a systematic review of case series. European Journal of Orthopaedic Surgery & Traumatology. 2019;29(3):689-96. doi: 10.1007/s00590-018-2324-6
- Gahlot N, Kanojia RK. Anterior tibial artery pseudoaneurysm due to interlocking bolt of tibial nail: A case report and review. Acta Orthopaedica et Traumatologica Turcica. 2017;51(1):77-83. doi: 10.1016/j.aott.2015.01.001
- Van Schaardenburgh P, Steenvoorde P, de Bruïne JF, et al. Thrombotic resolution of a traumatic pseudoaneurysm of the anterior tibial artery after external compression. The Journal of Trauma and Acute Care Surgery. 2003;55(3):561-5. doi: 10.1097/01.TA.0000031176.56759.21
- Spirito R, Trabattoni P, Pompilio G, et al. Endovascular treatment of a post-traumatic tibial pseudoaneurysm and arteriovenous fistula: case report and review of the literature. Journal of Vascular Surgery. 2007;45(5):1076-9. doi: 10.1016/j.jvs.2006.12.038
- Tomescot A, Mackowiak E, Coggia M, et al. Pseudoaneurysm of the anterior tibial artery after a tibial bone true-cut needle biopsy treated by an arterial resection and anastomosis. Annuals of Vascular Surgery. 2011;25(3):386.e13-15. doi: 10.1016/j.avsg.2010.10.014
- Vasilakis A, Jackson RJ, Rozar GE, et al. Revascularization of a symptomatic pseudoaneurysm of the anterior tibial artery. The American Surgeon. 1990;56(4):209-13.
- Bartoli MA, Lerussi GB, Gulino R, et al. False aneurysm at the origin of the anterior tibial artery after opening wedge osteotomy. Vascular. 2010;18(1):45-8. doi: 10.2310/6670.2009.00042
Supplementary files
