Rupture of a True Giant Aneurysm of the Posterior Tibial Artery: A Huge Size of 6 cm on Diameter

Ruptured mycotic infrapopliteal aneurysm

“…[2][3][4] Rupture of a popliteal or infrapopliteal aneurysm is extremely uncommon, and there are only two case reports describing a rupture of tibial aneurysm in the English literature. 5,6 The 12-cm aneurysm described in our case report is the largest reported aneurysm of this type.…”

“…Now knowing that this was a rupture of a tibioperoneal aneurysm with adequate anterior tibial artery runoff, surgical ligation without bypass could have been considered. Surgical ligation of a mycotic tibial aneurysm was successfully described in the literature, 5 and in retrospect, this simplifies the procedure and saves time in the operating room.…”

“…1 Peripheral mycotic aneurysms are rare and only described as case reports. [2][3][4][5] Because of its rarity, the natural history of infrapopliteal aneurysms is unknown. Most case reports describe initial patient presentation with symptomatic leg edema and pulsatile mass.…”

Endovascular repair of multiple infrageniculate aneurysms in a patient with vascular type Ehlers-Danlos syndrome

“…3 Prior to this report, only 41 true aneurysms below the popliteal fossa have been reported in the English literature, 3-10 14 of those involving posterior tibial arteries, 5 and none with concomitant vascular EDS. Since rupture is rare, 5 small and asymptomatic infrapopliteal aneurysms may be observed safely, while symptomatic aneurysms require prompt surgical intervention, most commonly direct repair or ligation.…”

Management of a Ruptured Mycotic Superficial Femoral Artery Aneurysm

“…Several treatment modalities have been described for management of these mycotic aneurysms including open surgical approach [3], open approach with tourniquet application and limb exsanguination [4] and endovascular approach [5].…”