Tibioperoneal true aneurysm: case report and literature review.
BACKGROUND
The true aneurysms of the infrapopliteal arteries are an unusual pathology with low incidence in the general population. They appear in the literature only as isolated case reports. True aneurysms of the infrapopliteal arteries represent a surgical problem, especially when a bifurcation is involved and when the distal vessels are affected by occlusive disease.


METHODS
A 67 year old man with an aneurysm which involved the tibioperoneal trunk and the origin of peroneal and posterior tibial arteries was surgical treated. At three months follow up, a duplex ultrasonography (DUS) control showed the bypass patency and the total exclusion of the aneurismal sac.


CONCLUSIONS
Although the aneurysms of the infrapopliteal arteries are very uncommon and often asymptomatic, their associated vascular lesions and/or ischemic complications can lead to high risk of limb loss. When the aneurysm is large and/or symptomatic, the surgical treatment becomes mandatory. A conservative treatment and DUS follow up could be reserved to elderly patients and when the aneurysm is small and asymptomatic.
Vascular Surgery Department, Sapienza, University of Rome, Italy.
F
F
Faccenna
A
A
Alunno
M M G
MM
Felli
A
A
Castiglione
P
P
Izzo
B
B
Gossetti
F
F
Stagnitti
A
A
Laurito
L
L
Izzo
R
R
Gattuso
D000368:Aged; D000783:Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D018438:Blue Toe Syndrome / Q000209:etiology; D006801:Humans; D008297:Male; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D012501:Saphenous Vein / Q000637:transplantation; D016909:Tibial Arteries / Q000000981:diagnostic imaging / Q000601:surgery*; D014463:Ultrasonography