title: Tibioperoneal Trunk Aneurysm Resulting in Compartment Syndrome with Associated Aneurysms of the Popliteal and Dorsalis Pedis Arteries.
abstract: True aneurysms of the tibioperoneal trunk are rare. Given the scarcity of reports, the clinical presentation and treatment is not well defined. This is a case report of a 50-year-old male patient presenting with severe lower extremity swelling and compartment syndrome with neurological compromise secondary to a tibioperoneal trunk aneurysm. He was also noted to have discrete ipsilateral popliteal and dorsalis pedis artery aneurysms. Given the location and size of the aneurysm, the severe leg swelling, and venous hypertension, aneurysmorrhaphy or aneurysm sac excision with arterial reconstruction was prohibitively dangerous. Thus, following fasciotomies, a hybrid repair utilizing a saphenous vein superficial femoral to anterior tibial artery bypass along with coil embolization of the aneurysm sac was performed. The patient recovered full function of his leg and follow-up computed tomography angiogram demonstrated thrombosis and regression of the aneurysm sac with a patent bypass.
authors.affiliation: Department of Surgery, Division of Vascular and Endovascular Surgery, Stony Brook University Medical Center, Stony Brook, NY.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Ventarola
authors.affiliation: Department of Surgery, Division of Vascular and Endovascular Surgery, Stony Brook University Medical Center, Stony Brook, NY.
authors.forename: Nicos N
authors.initials: NN
authors.lastname: Labropoulos
authors.affiliation: Department of Surgery, Division of Vascular and Endovascular Surgery, Stony Brook University Medical Center, Stony Brook, NY.
authors.forename: David S
authors.initials: DS
authors.lastname: Landau
authors.affiliation: Department of Surgery, Division of Vascular and Endovascular Surgery, Stony Brook University Medical Center, Stony Brook, NY.
authors.forename: Apostolos K
authors.initials: AK
authors.lastname: Tassiopoulos
authors.affiliation: Department of Surgery, Division of Vascular and Endovascular Surgery, Stony Brook University Medical Center, Stony Brook, NY. Electronic address: Shang.Loh@stonybrookmedicine.edu.
authors.forename: Shang A
authors.initials: SA
authors.lastname: Loh
mesh_terms: D000783:Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D003161:Compartment Syndromes / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D000072226:Computed Tomography Angiography; D004487:Edema / Q000209:etiology; D004621:Embolization, Therapeutic; D000071938:Fasciotomy; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply*; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D012501:Saphenous Vein / Q000637:transplantation; D016909:Tibial Arteries / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome; D014654:Vascular Patency