title: Anterior Tibial Artery Pseudoaneurysm following Ankle Arthroscopy in a Hemophiliac Patient.
abstract: Arthroscopy of the foot and ankle is a common orthopedic procedure with low complication rates. Arterial injuries from these procedures are an even more rare subset of the complications. Hemophilia A is a genetic disorder of aberrant coagulation, which leads to increased risk of bleeding even after minor trauma. We present the second case of anterior tibial artery pseudoaneurysm formation secondary to ankle arthroscopy in a hemophiliac patient and suggest that these individuals are at higher risk for developing complications associated with arterial injury. Furthermore, potential risk factors include port placement, anatomic variation of the vessels, and nature of the arthroscopic procedure. We recommend steps to prevent complications in hemophiliac patients.
authors.affiliation: Division of Vascular Surgery, Department of Surgery, UT Southwestern Medical Center, Dallas, TX.
authors.forename: Khalil H
authors.initials: KH
authors.lastname: Chamseddin
authors.affiliation: Division of Vascular Surgery, Department of Surgery, UT Southwestern Medical Center, Dallas, TX. Electronic address: Melissa.Kirkwood@UTsouthwestern.edu.
authors.forename: Melissa L
authors.initials: ML
authors.lastname: Kirkwood
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D000843:Ankle Joint / Q000601:surgery*; D001182:Arthroscopy / Q000009:adverse effects*; D006467:Hemophilia A / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008026:Ligation; D008297:Male; D012307:Risk Factors; D017131:Thrombectomy; D016909:Tibial Arteries / Q000000981:diagnostic imaging / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery