J Korean Foot Ankle Soc.  2016 Mar;20(1):43-45. 10.14193/jkfas.2016.20.1.43.

Coil Embolization of a Pseudoaneurysm of the Anterior Tibial Artery: A Case Report

• Wang TH
• Cho HL
• Park KB
• Kim DH

• KMID: 2158429
• DOI: http://doi.org/10.14193/jkfas.2016.20.1.43

Abstract

Development of a pseudoaneurysm around the ankle is an uncommon complication after surgery. We experienced a case of a pseudoaneurysm, which developed from the anterior tibial artery. A 44-year-old woman had sustained painful swelling of her right ankle after the removal of implants for a distal fibular fracture. The pseudoaneurysm was confirmed by ultrasonography and angiography. The patient was treated with an intervention using a coil and recovered without further complaints. This case report aims to increase the awareness of this complication with review of literature.

Keyword

Anterior tibial artery; Pseudoaneurysm; Coil embolization

MeSH Terms

Adult
Aneurysm, False*
Angiography
Ankle
Embolization, Therapeutic*
Female
Humans
Tibial Arteries*
Ultrasonography

Figure

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  Figure 1. (A) Initial anteroposterior radiograph demonstrates the distal fibular fracture. (B) Follow-up radiograph at postoperative 12 months after initial operation demonstrates the bone union. (C) Postoperative radiograph demonstrates the removal status of metal implants.

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  Figure 2. (A) Ultrasonography shows hypoechoic oval shaped lesion beside the fibula. (B) Color flow Doppler scan shows blood circulation into the pseudoaneurysm.

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  Figure 3. (A) Femoral arteriogram shows pseudoaneurysm of anterior tibial artery. (B) Pseudoaneurysm completely excluded from circulation by embolization with microcoils.

Reference

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