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BMJ Case Reports 2009; doi:10.1136/bcr.04.2009.1812
  • Novel treatment (new drug/intervention; established drug/procedure in new situation)

True posterior tibial artery aneurysm in a young patient: surgical or endovascular treatment?

  1. Biagio Barbano1,
  2. Antonietta Gigante2,
  3. Alvaro Zaccaria3,
  4. Lelio Polidori2,
  5. Paola Martina2,
  6. Annalisa Schioppa2,
  7. Alessandro Ferrazza2,
  8. Katia Lanciotti4,
  9. Rosario Cianci2
  1. 1
    Sapienza, University of Rome, Viale dell’Università, 37, Rome, 00185, Italy
  2. 2
    Sapienza, University of Rome, Nephrology, Viale dell’Università, 37, Rome, 00185, Italy
  3. 3
    Villa S. Pietro Hospital, Vascular Surgery Unit, Via Cassia, 600, Rome, 00191, Italy
  4. 4
    Villa S. Pietro Hospital, Radiology Unit, Via Cassia, 600, Rome, 00191, Italy
  1. Biagio Barbano, biagionet{at}hotmail.com
  • Published 1 December 2009

Summary

Aneurysms of tibial arteries are extremely rare. Here we report a case of a true posterior tibial artery aneurysm in a young patient without any associated pathology and discuss surgical and endovascular treatment. A young Caucasian male was admitted to our department for painful and pulsatile swelling of the right calf. Colour Doppler ultrasound scan visualised an aneurysmal dilation of the posterior tibial artery. The patient had no trauma to the area and denied other history of vascular disease. Angio-CT and angio-magnetic resonance imaging showed a larger aneurysm compared to ultrasound scan. We performed an embolisation of the aneurysm because of the risk of rupture, as distal collateral circulation ensured foot vascularisation. Endovascular treatment of aneurysms of small arteries seems to be a safe therapeutic and non-invasive choice, particularly in young patients in whom the presence of collaterals guarantees distal vascularisation.

Footnotes

  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.

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