Publication details

Pseudoaneurysm of the Dorsalis Pedis Artery: Case Report and Literature Review

Authors

VLACHOVSKÝ Robert STAFFA Robert NOVOTNÝ Tomáš

Year of publication 2017
Type Article in Periodical
Magazine / Source JOURNAL OF FOOT & ANKLE SURGERY
MU Faculty or unit

Faculty of Medicine

Citation
Doi http://dx.doi.org/10.1053/j.jfas.2016.10.009
Field Surgery incl. transplantology
Keywords artery; blunt trauma; bypass; foot; pseudoaneurysm
Description Aneurysms and pseudoaneurysms of the dorsalis pedis artery are rare vascular entities usually caused by traumatic injury or iatrogenic intervention, producing a focal soft pulsatile tissue mass in the dorsal foot. Gradual expansion of the fibrous capsule can produce secondary physical signs through the pressure exerted on surrounding structures. We report the case of a 57-year-old male with an idiopathic pseudoaneurysm of the dorsalis pedis artery. A focused history found a low-grade blunt trauma to the dorsal foot that had occurred 2 years previously. The diagnosis of a pseudoaneurysm was confirmed by ultrasound examinations and computed tomography angiograms. The pseudoaneurysm was treated with resection, and a short reversed great saphenous vein interposition graft was placed. He recovered well after surgery and remained free of symptoms 18 months postoperatively. The literature review of this uncommon vascular pathologic entity and the diagnosis and management are discussed. (C) 2016 by the American College of Foot and Ankle Surgeons. All rights reserved.

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