Author(s): Sigterman TA, Dolmans DE, Welten RJ, Krasznai A, Bouwman LH
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Abstract 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. Copyright © 2012 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.
This article was published in Int J Surg Case Rep
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