Angiology: Open Access
Open Access

Abstract

Pseudoaneurysm in a High Takeoff Anterior Tibial Artery with Endovascular Repair

David M Williams and Patrick A Stone

Purpose: To report the first case of a pseudoaneurysm in a high takeoff anterior tibial artery after minor traumatic injury which was successfully excluded with endovascular stent deployment.

Case report: A 77-year-old male was found on ultrasound to have a pseudoaneurysm of the anterior tibial artery approximately one month after a fall from the standing position. Further investigation with computed tomographic angiography confirmed a pseudoaneurysm of a high takeoff anterior tibial artery. The pseudoaneurysm was successfully excluded with the endovascular deployment of two stents. Postoperative duplex at eight months indicated continued patency of both stents.

Conclusions: This case suggests that high takeoff anterior tibial arteries may have increased susceptibility to injury. However, pseudoaneurysm in this anatomical variant can be successfully repaired with endovascular stent deployment.