Nontraumatic aneurysms affecting crural arteries: case report and review of the literature.
Aneurysms involving the infrapopliteal arteries are rare, with most cases being attributed to a previous traumatic event. Mycotic aneurysms in this location are even more uncommon. Owing to their infrequency, these aneurysms represent a difficult diagnostic challenge. We present a case of a symptomatic anterior tibial artery aneurysm in a 59-year-old male with a medical history significant only for an episode of bacterial endocarditis, subsequently requiring an aortic valve replacement. Surgical repair was performed with a popliteal to anterior tibial bypass with a reversed saphenous vein graft. The patient's recovery was uneventful. We also reviewed the literature on this type of aneurysm to assess the incidence, etiology, options for treatment, and outcomes.
Leon
Luis R
LR
Department of Vascular Surgery, Southern Veterans Affairs Healthcare System, Tucson, AZ 85723, USA. luis.leon@va.gov
Benn Psalms
Shemuel
S
Stevenson
Shawn
S
Mills
Joseph L
JL
D000785:Aneurysm, Infected / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000601:surgery; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery; D006801:Humans; D018810:Magnetic Resonance Angiography / Q000379:methods; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging* / Q000601:surgery; D016909:Tibial Arteries / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000601:surgery; D016896:Treatment Outcome