Surgical Treatment for Right Anterior Tibial Artery Aneurysm

Abstract

A 77-year-old woman noticed a pulsatile mass on her right lower leg 2 months previously. Computed tomography revealed the presence of a right anterior tibial artery aneurysm. We performed resection of the aneurysm surgically. Histological analysis revealed that it was a true aneurysm. After the surgery, deep peroneal nerve dysfunction occurred. For the treatment of peripheral artery aneurysms, we must try to avoid nerve complications and we must have a choice of endovascular therapy.

Aneurysmectomy and Revascularization of Anterior Tibial Artery Aneurysm: Case Report

“…1) Although the peroneal and posterior tibial arteries were patent in our patient, we thought that blood flow from the anterior tibial artery should be maintained, if possible, and revascularization should proceed using an autologous saphenous vein graft. Kudo et al 10) describe the need for gentle surgical approach to avoid causing a peroneal nerve disorder. We considered that ligation should be chosen only if adhesions were tightly attached around the aneurysm.…”