title: Nontraumatic aneurysms affecting crural arteries: case report and review of the literature.
abstract: 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.
authors.affiliation: Department of Vascular Surgery, Southern Veterans Affairs Healthcare System, Tucson, AZ 85723, USA. luis.leon@va.gov
authors.forename: Luis R
authors.initials: LR
authors.lastname: Leon
authors.forename: Shemuel
authors.initials: S
authors.lastname: Benn Psalms
authors.forename: Shawn
authors.initials: S
authors.lastname: Stevenson
authors.forename: Joseph L
authors.initials: JL
authors.lastname: Mills
mesh_terms: 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