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Anterior tibial artery aneurysm: Case report and literature review
Tim A Sigterman1, Dennis E J G J Dolmans, Rob J Th J Welten
1Surgery Department, Atrium Medical Centre, Henri Dunantstraat 5, 6419 PC Heerlen, Netherlands.
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.
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