Successful endovascular isolation of a huge true anterior tibial artery aneurysm by the bi‐directional approach in a young patient

Anterior tibial artery aneurysms (ATAAs) are relatively rare entities. Most ATAAs are pseudoaneurysms resulting from trauma, infection, or iatrogenic injury. We observed a 33‐year‐old woman with a huge true ATAA who did not have any potential cause of pseudoaneurysm or risk factors for atheroscleros...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2020-05, Vol.95 (6), p.E175-E178
Main Authors: Ono, Shigeshi, Shimogawara, Tatsuya, Yamazoe, Shinji, Matsui, Junichi
Format: Article
Language:English
Subjects:
Adult
Aneurysm
Aneurysm - diagnostic imaging
Aneurysm - physiopathology
Aneurysm - therapy
Arteriosclerosis
Blood flow
Cardiovascular system
Connective tissue diseases
Embolization, Therapeutic - instrumentation
Endovascular Procedures - instrumentation
Female
Humans
Magnetic resonance imaging
Pseudoaneurysm
Risk factors
Sensory neurons
Tibial Arteries - diagnostic imaging
Tibial Arteries - physiopathology
Trauma
Treatment Outcome
Veins & arteries
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Summary:Anterior tibial artery aneurysms (ATAAs) are relatively rare entities. Most ATAAs are pseudoaneurysms resulting from trauma, infection, or iatrogenic injury. We observed a 33‐year‐old woman with a huge true ATAA who did not have any potential cause of pseudoaneurysm or risk factors for atherosclerosis or connective tissue disorder. Endovascular isolation by the bi‐directional approach was successfully performed, and the ATAA was totally excluded from the afferent blood flow. Distal flow of the anterior tibial artery was preserved, and pulsation of the dorsal pedis artery was also well preserved. Her postoperative course was uneventful, and follow‐up ultrasonography and magnetic resonance imaging revealed the ATAA shrinkage.
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.28562