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. 1991;18(3):223–225.

Chronic Dissection of the Anterior Tibial Artery

Leading to Acute Aneurysmal Dilatation

Alvaro Ortiz De Salazar 1,2, Fernando Muñoz 1,2, Mirel Antoñana 1,2, José I Aramendi 1,2, Enrique Castellanos 1,2, Alberto Loizate 1,2, Antonio Calderon 1,2, Alberto Llorente 1,2, Alberto Serrano 1,2
PMCID: PMC325002  PMID: 15227485

Abstract

We present a clinical case of chronic dissection of the anterior tibial artery leading to acute aneurysmal dilatation. Our patient, a 22-year-old man, had a history of trauma at the middle third of his left leg. Because of impending ischemia, he was diagnosed by emergency arteriography. We ligated the proximal and distal ends of the dissection and used a reversed saphenous vein for a short end-to-end bypass.

Although the evolution of this dilatation had been silent, its clinical presentation was spectacular. The case is worthy of attention because of its extreme rarity, both as a dissection of a peripheral artery caused by trauma and as an aneurysmal dilatation at tibial level. (Texas Heart Institute Journal 1991;18:223-5)

Keywords: Aneurysm, dissecting/anterior tibial artery

Keywords: ligation

Keywords: reversed saphenous vein bypass

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barroy J. P., Barthel J., Locufier J. L., Bosschaerts T., Goldstein M. Atherosclerotic popliteal aneurysms. Report of one ruptured popliteal aneurysm. Survey and analysis of the literature. J Cardiovasc Surg (Torino) 1986 Jan-Feb;27(1):42–45. [PubMed] [Google Scholar]
  2. COUGHLIN J. J. Arterio-venous aneurysm of the foot following plantar fasciotomy. Northwest Med. 1951 Oct;50(10):772–773. [PubMed] [Google Scholar]
  3. Carey L. C., Stremple J. F. An aneurysm of the anterior tibial artery. A case report. Angiology. 1967 Feb;18(2):117–121. doi: 10.1177/000331976701800206. [DOI] [PubMed] [Google Scholar]
  4. Chalstrey L. J. Aneurysm of the posterior tibial artery due to a tibial osteochondroma. Br J Surg. 1970 Feb;57(2):151–154. doi: 10.1002/bjs.1800570217. [DOI] [PubMed] [Google Scholar]
  5. Dreyfus U., Fishman J. False aneurysm of the posterior tibial artery complicating fracture of the tibia and fibula. J Trauma. 1980 Feb;20(2):186–187. doi: 10.1097/00005373-198002000-00018. [DOI] [PubMed] [Google Scholar]
  6. Jenyo M. S. Silent posterior tibial artery aneurysm. Report of a case and review of literature. J Cardiovasc Surg (Torino) 1987 Jul-Aug;28(4):456–459. [PubMed] [Google Scholar]
  7. Morris E., Morse T. S. Aneurysm of the posterior tibial artery after a foot stabilization procedure. A case report. J Bone Joint Surg Am. 1966 Mar;48(2):337–338. [PubMed] [Google Scholar]
  8. PATTERSON R. L., Jr, PARRISH F. F., HATHAWAY E. N. Stabilizing operations on the foot; a study of the indications, techniques used, and end results. J Bone Joint Surg Am. 1950 Jan;32A(1):1-26, illust. [PubMed] [Google Scholar]
  9. WEBB-JONES A. Aneurysm after foot stabilisation. J Bone Joint Surg Br. 1955 Aug;37-B(3):440–442. doi: 10.1302/0301-620X.37B3.440. [DOI] [PubMed] [Google Scholar]
  10. Wychulis A. R., Kincaid O. W., Wallace R. B. Primary dissecting aneurysms of peripheral arteries. Mayo Clin Proc. 1969 Nov;44(11):804–810. [PubMed] [Google Scholar]

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