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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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The external iliac artery transitions out of the body cavity, entering the femoral region of the lower leg, and is renamed the femoral artery at the point where it traverses the body wall. This artery is responsible for the distribution of blood to the thigh's deep muscles and the skin's ventral and lateral regions, achieved through several minor branches and the lateral deep femoral artery, which also spawns a lateral circumflex artery. The knee area receives blood from the genicular...
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Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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[Distal peroneal artery pseudoaneurysm].

M Cristiani-Winer1, M Mangupli1, L Allende-Bartolomé1

  • 1Instituto Allende de Cirugía Reconstructiva, Córdoba, Argentina.

Acta Ortopedica Mexicana
|December 18, 2021
PubMed
Summary

A rare case of distal peroneal artery pseudoaneurysm following ankle fracture-dislocation is presented. Early detection through post-surgical checks is crucial for timely treatment of such rare vascular complications.

Keywords:
Pseudoaneurysmanklecomplicationdiagnosisembolization

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Area of Science:

  • Vascular Surgery
  • Trauma Surgery
  • Radiology

Background:

  • Aneurysms and pseudoaneurysms of foot and ankle arteries are rare vascular conditions.
  • They typically manifest months or years after initial trauma.
  • These complications, though uncommon, require vigilance during medical check-ups.

Observation:

  • A 60-year-old patient sustained a right ankle fracture-dislocation.
  • Postoperative edema and circulatory changes prompted further investigation.
  • Arteriography revealed a 28x30 mm pseudoaneurysm in the distal peroneal artery.

Findings:

  • The pseudoaneurysm was a direct consequence of the ankle fracture-dislocation.
  • Surgical intervention was performed four days post-injury.
  • The pseudoaneurysm required specific treatment for symptom control.

Implications:

  • Highlights the importance of thorough physical examination in post-ankle surgery patients.
  • Emphasizes the need for early detection and timely management of rare vascular complications.
  • Underscores the role of advanced imaging like arteriography in diagnosing such conditions.