Anterior tibial artery aneurysm: Case report and literature review

• Published in: International journal of surgery case reports 2013-01, Vol.4 (3), p.243-245
• Main Authors: Sigterman, Tim A, Dolmans, Dennis E.J.G.J, Welten, Rob J.Th.J, Krasznai, Attila, Bouwman, Lee H
• Format: Article
• Language: English
• Subjects: Aneurysm; Arteria tibialis anterior; Surgery; True aneurysm
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2012.09.015

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.