Posterior tibial artery pseudoaneurysms are extremely rare. They commonly present as a late complication of trauma or iatrogenic injury. Diagnosis can be elusive. Treatment has been described in the context of open primary repair, endovascular stenting, and coil embolization. There has been increasing interest in the use of endovascular treatment options for this type of injury. If left untreated, pseudoaneurysms can rupture, partially thrombose, expand and cause adjacent local compression and compartment syndrome. The following case presented is of a young gentleman with a posterior tibial pseudoaneurysm incidentally discovered after stepping on glass and the management of his posterior tibial pseudoaneurysm.
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References with DOI
1. Skudder PA, Gelfand ML, Blumenberg RM, Fulco J. Tibial artery false aneurysm: uncommon result of blunt injury occurring during athletics. Ann Vasc Surg. 1999;13:589–91. https://doi.org/10.1007/s100169900304
2. Breen T, Brumback R. Posterior tibial artery pseudoaneurysm following tibial fracture: a case report. Orthopedics. 1985;8:993–7.
3. Joglar F, Kabutey NK, Maree A, Farber A. The role of stent grafts in the management of traumatic tibial artery pseudoaneurysms: case report and review of the literature. Vasc Endovascular Surg. 2010;44:407–9. https://doi.org/10.1177/1538574410369391
4. Ricotta JJ. False aneurysm and arteriovenous fistula. In: Cameron JL, editor. Current Surgical Therapy. 4th ed. St. Louis MO: Mosby; 1992. pp. 681–61.
5. Benedi R. Antiplatelet agents for preventing thrombosis after peripheral arterial bypass surgery. Cochrane Database Syst. Rev. 2015. https://doi.org/10.1002/14651858.cd000535.pub3
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Amiri, MD, Farzad; Sanford, Zachary; and Constantinou, MD, Constantinous
"Traumatic Posterior Tibial Pseudoaneursym: A rare late complication repaired conventionally,"
Marshall Journal of Medicine:
3, Article 3.
Available at: https://mds.marshall.edu/mjm/vol2/iss3/3