Delayed presentation of a posterior tibial false aneurysm

Endovascular treatment for a spontaneous rupture of the posterior tibial artery in a patient with Ehlers-Danlos syndrome Type IV: Report of a case

“…The common etiologies of a pseudoaneurysm include blunt or penetrating trauma and transluminal angioplasty, leading to a full-thickness tear or lacerations of the vessel wall. [9][10][11][12] On the other hand, true aneurysms of the infrapopliteal artery are usually diagnosed as mycotic. 13 The pathophysiology in the current case may have involved an initial spontaneous rupture of the posterior tibial artery that occurred when the patient played badminton, which thereafter progressed to a pseudoaneurysm.…”

“…Conversely, the disadvantages include the risk of thrombosing the narrow supplying artery either by stent-graft implantation or by transcatheter introduction of coils and a higher rate of failure. 11 At present, there is no clear consensus on the optimal strategy for infrapopliteal aneurysm. In cases of a ruptured aneurysm complicated by acute compartment syndrome, an emergency fasciotomy and subsequent surgical treatment for the aneurysm is often selected, but the story is completely different in cases of EDS.…”

Pseudoaneurysm of Posterior Tibial Artery Management: Case Report and Review of Literature

“…PAs of the crural arteries are very rare. In literature, causes of PAs are mainly orthopedic interventions and traumatic arterial lesions due to penetrating or blunt injury [5][6][7][8]. Another important cause of PAs of the crural arteries is vascular interventions [1,3,4].…”

“…Complications of PAs include thrombosis, distal embolism and rupture [10]. Alternatively, they can be asymptomatic and be diagnosed at a time remote to the injury [8]. In literature, various treatment options have been described, including ultrasound-guided compression, embolization, implantation of covered stent grafts and open surgery [2,[5][6][7][9][10][11][12][13][14].…”

The Role of Stent Grafts in the Management of Traumatic Tibial Artery Pseudoaneurysms: Case Report and Review of the Literature

“…1,4 Alternatively, they can be asymptomatic and be diagnosed at a time remote to the injury. 4,7 Traditional surgical repair of traumatic tibial PSA has been operative exploration with either ligation, direct repair with or without a vein patch, or interposition grafting of the injured artery. 1 Other described treatment options include external ultrasound-guided compression, 8 ultrasound guided thrombin injection, 9,10 and angiographic embolization.…”