Aneurisma verdadeiro bilateral de artéria tibial posterior

Abstract

Neste artigo, faz-se o relato de um caso de aneurisma verdadeiro bilateral da artéria tibial posterior em paciente de 57 anos. Os aneurismas surgiram em épocas diferentes. Os aspectos clínicos, diagnósticos e terapêuticos deste caso são discutidos. Este relato é importante, pois os autores não têm conhecimento de caso semelhante na literatura consultada.

Aneurisma verdadeiro de artéria plantar medial: relato de caso

“…The patient had no past history of trauma or infection to justify the aneurysmal formation. She did not have abnormal inflammatory markers either, which decreased the possibility of an inflammatory arteriopathy to be the cause of the aneurysm 1,2,12 . Histopathologic study confirmed the diagnosis of a true medial plantar artery aneurysm.…”

“…Popliteal aneurysms, especially bilateral ones, are frequently associated with AAA. The femoral artery is the second most common site for true peripheral artery aneurysms, while the distal (infra-popliteal) arteries are rarely affected [4][5][6][7][8][9][10][11][12] . True aneurysm of the plantar artery is very rare.…”

“…On the other hand, a true peripheral artery aneurysm is usually degenerative and related to atherosclerosis. Its diagnosis is made by clinical examination, when a pulsatile tumor is detected along the path of an artery 1,2,12,13 . The diagnosis is usually confirmed by imaging methods such as Doppler vascular echography, CT and MR angiography and arteriography 12 .…”

“…Its diagnosis is made by clinical examination, when a pulsatile tumor is detected along the path of an artery 1,2,12,13 . The diagnosis is usually confirmed by imaging methods such as Doppler vascular echography, CT and MR angiography and arteriography 12 . Thrombosis and embolism are the most common complications of peripheral aneurysms, unlike abdominal aortic aneurysms, whose leading complication is rupture 1,2,7-9,12,14 .…”