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. 2019 Dec 25;12(4):548-550.
doi: 10.3400/avd.cr.19-00059.

Aneurysmectomy and Revascularization of Anterior Tibial Artery Aneurysm: Case Report

Noriaki Sato  1 , Kaori Kato  1 , Masaru Takekubo  1 , Shinya Mimura  1 , Osamu Namura  1 , Takeshi Sakai  2 , Hajime Ohzeki  1
Affiliations

Aneurysmectomy and Revascularization of Anterior Tibial Artery Aneurysm: Case Report

Noriaki Sato et al. Ann Vasc Dis. .

Abstract

An 86-year-old man presented with a pulsatile mass in the anterior compartment of the right lower leg. He had become aware of it two months earlier. Computed tomography angiography revealed a fusiform 3.2×5 cm aneurysm of the anterior tibial artery. Mural thrombosis in the aneurysm was absent. Peripheral pulse was normal. We performed aneurysmectomy and revascularization using a saphenous vein graft. Histological findings revealed that the mass was a true aneurysm. The clinical course was good, and the graft has remained patent for six months.

Keywords: anterior tibial artery aneurysm; revascularization; true aneurysm.

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Conflict of interest statement

Disclosure StatementThe authors have no conflicts of interest to disclose.

Figures

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Fig. 1 Computed tomography showing (A) anterior tibial artery aneurysm (white arrow) and (B) another aneurysmal change on the distal side (red arrow).
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Fig. 2 Intraoperative pictures of the (A) anterior artery aneurysm and (B) autologous saphenous vein graft after anastomosis.
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Fig. 3 Histological features of the aneurysmal wall.
See this image and copyright information in PMC

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