Pseudoaneurysm of the Dorsalis Pedis Artery Causing Neurological Deficit

Dorsalis Pedis Aneurysm: A Case Report and Review of the Literature

“…14 Tempest and Wilson report a case in which a patient developed secondary localized ischemia and required subsequent forefoot amputation secondary to aneurismal occlusion. 18 The possible complications associated with a dorsalis pedis aneurysm alert the surgeon to act promptly in order to reduce impending patient morbidity.…”

Dorsalis Pedis Artery Pseudoaneurysm: An Uncommon Cause of Soft Tissue Mass of the Dorsal Foot in Children

“…DPA aneurysm is rarely reported in the general population and even less frequently in children. l " Table 1 characterizes the 25 cases reported in the literature to date [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][20][21][22][23][24][25][26] with only three cases in children [9,18,24]. Webb-Jones [24] described the case of a 15-year-old boy who underwent aneurysmectomy after ligation of the DPA proximal and distal to the pseudoaneurysm.…”

“…Chronic repetitive trauma may also lead to pseudoaneurysm formation, as seen in the thenar hammer syndrome [1]. In cases without a history of trauma, minor repetitive chronic trauma such as wearing shoes can be involved in their formation, as well as in their complications [17]. No collagenopathy or bacterial embolization has been reported so far for DPA pseudoaneurysms genesis.…”

“…US-guided compression, percutaneous thrombin injection as well as endoluminal management have not been reported for DPA aneurysms [19]. A simple resection without reconstruction can be done in cases with a patent arcuate artery [4,10,11,17,18,[23][24][25][26]. Some authors [2,3,9,16] recommend a reconstruction by end-to-end anastomosis for young patients that may be of benefit if they develop peripheral vascular disease as adults.…”

“…Surgical management remains the treatment of choice. Although this entity is uncommon, a correct diagnosis is clinically important considering the risks of rupture [6], distal thrombosis with digital ischemia [1,5], gangrene, nerve compression [17], bone erosion and joint degeneration [24], as seen with pseudoaneurysms of the hand [1]. For these reasons surgical treatment is recommended for all patients.…”