Pseudoaneurysm of the Posterior Tibial Artery Following a Closed Fracture of the Calcaneus

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.…”

“…Generally, the treatment options for an aneurysm in this area are: (1) excision of aneurysm followed by reconstruction; (2) endovascular embolization; (3) ligation of the proximal and distal arteries; and (4) percutaneous occlusion by means of fi brin adhesive injection. 9 Recently, there have been an increasing number of reports of successfully treated crural artery aneurysm. 12,14,15 The advantages of the endovascular approach are the protection of the surrounding nerves and adjacent structures during repair and the minimal blood loss.…”

Arteriovenous Fistula and Pseudoaneurysm of the Posterior Tibial Artery After Calcaneal Slide Osteotomy: A Case Report

“…2,3,8 Pseudoaneurysm of the posterior tibial artery or its immediate branches has been reported following traction pin placement, plantar fasciotomy, endoscopy, and fracture of the calcaneus. 1,4,9,10 Pseudoaneurysm of the lateral plantar artery following a calcaneal osteotomy was recently described in a case report. 11 In that report, direct trauma to the artery could have been associated with the medial approach extending from the medial malleolus to the navicular used during portions of the operation.…”

Associated lateral process and posteromedial tubercle talus fractures with entrapment of the medial neurovascular bundle: A case report

“…Lacerations of the vascular wall may lead to complete thrombosis and occlusion of the lumen but perfusion of the foot can still be maintained by a well-developed collateral system. In the presence of good collateral circulation, vessel ligation can be as effective as the other treatment options described [1,9]. Diagnosing these lesions early could perhaps prevent unfortunate cases, such as the one described by Brzakala et al [4], which required the amputation of the leg 6 months after a closed trauma to the ankle that caused thrombosis of the posterior tibial artery.…”