J Korean Soc Vasc Surg.
2005 Nov;21(2):171-174.
Posterior Tibial Artery Aneurysm: A Case Report
- Affiliations
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- 1Department of Surgery, University of Ulsan College of Medicine, Seoul Asan Hospital, Seoul, Korea.
- 2Department of Surgery, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, Korea. ypcho@gnah.co.kr
- 3Department of Diagnostic Radiology, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, Korea.
- 4Department of Diagnostic Pathology, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, Korea.
Abstract
- Aneurysms of the infrapopliteal arteries are rare and they are commonly associated with trauma. We report here on a rare case of a true aneurysm of the posterior tibial artery in a sixty-year-old female. There was no history of trauma, and the serologic tests for the possibility of vasculitis were all negative. The color Doppler ultrasound examination and the multi-detector computed tomographic scan confirmed the diagnosis of a posterior tibial artery aneurysm and these tests revealed no evidence of aneurysms or occlusive lesions in the other arteries. Aneurysmectomy and end-to-end microvascular anastomosis were performed successfully. Preoperative multi- detector computed tomographic scanning is a valuable, noninvasive diagnostic tool to delineate not only the state of the aneurysm, but also that of the distal arterial tree.