Síndrome do aprisionamento da artéria tibial anterior: relato de caso

Abstract

Resumo A claudicação intermitente é uma queixa geralmente relacionada com oclusão arterial secundária a doença aterosclerótica. Entretanto, em pacientes jovens com queixa de claudicação, outras causas devem ser pesquisadas, como a síndrome do aprisionamento da artéria poplítea, síndrome compartimental crônica, compressões ósseas e arterites. Os autores relatam o caso de um paciente com claudicação intermitente devido à compressão extrínseca da artéria tibial anterior pela membrana interóssea, diagnosticada através de angiorressonância durante manobras de dorsiflexão do pé. A paciente foi tratada com sucesso através da liberação do fator compressivo, evoluindo com melhora dos sintomas.

Ultrasound-guided Hydrodissection and Myotomy in a Case of Soleus Canal Syndrome

“…A case report in 2014 discussed a case of anterior tibial artery entrapment that was diagnosed with dynamic angiography and ultimately managed with surgical intervention (8). A report in 2018 presented a case of anterior tibial artery entrapment at the level of the interosseous membrane, diagnosed with Doppler ultrasonography, and ultimately treated with surgical intervention (3).…”

“…Popliteal artery entrapment syndrome, a rare condition mainly affecting young middle-aged men, is most commonly thought to be secondary to compression of the popliteal artery by the medial or lateral head of the gastrocnemius or an aberrant popliteal artery that becomes compressed by a hypertrophied gastrocnemius (1,2). Although there have been reports of anterior tibial artery entrapment through the soleus canal as a subvariant of popliteal artery entrapment syndrome, the exact location of vascular compression in soleus canal syndrome is uniquely distal than the described entrapment points for the popliteal artery (3). Treatment usually consists of avoiding exacerbating activities; however, surgical decompression has been the mainstay of definitive treatment (1,2).…”

Síndrome do aprisionamento da artéria tibial anterior bilateral pelo retináculo extensor do tornozelo: relato de caso

“…10 Miyamotto et al describe a case of compression of the anterior tibial artery by the interosseous membrane, with improvement of symptoms after partial resection of the interosseous membrane, around the anterior tibial artery. 11 Along the lower part of its path only, the anterior tibial artery adheres directly to the tibia, becoming more superficial. 10 A consequence of this anatomy, is that ATAE may be related to tibial fractures.…”