Tibioperoneal Trunk True Aneurysm Complicated by Acute Limb Ischemia

Lucie Dufour1, Vlad A Alexandrescu1* and Jean Christophe Donnay2

1Department of Surgery, Princess Paola Hospital, Marche-en-Famenne, Vivalia, Belgium
2Department of Anesthesiology, Princess Paola Hospital, Marche-en-Famenne, Vivalia, Belgium

^*Correspondance to: Vlad A Alexandrescu 

 PDF  Full Text DOI: 10.25107/2474-1647.2774

Abstract

Background: True aneurysmal location on the Tibioperoneal Trunk (TPT) appears to be extremely rare in the literature. Inferior limb true aneurysms are mainly reported to involve the popliteal, or the femoral arteries. We report the clinical presentation of a true TPT aneurysm extended to the origin of the Anterior Tibial Artery (ATA) and complicated by sudden arterial thrombosis and threatening acute limb ischemia. Method: A 86-year old patient was admitted with recent symptoms suggesting inferior right limb acute ischemia. The clinical diagnostic was confirmed by duplex and further detailed by urgent CTangiography evaluation. A 4.4 cm-diameter, totally thrombosed TPT true aneurism was diagnosed. The arterial circulation of the right limb was promptly reestablished owning a popliteal-anterior tibial, saphenous vein bypass. Result: The treated limb showed quick clinical and hemodynamic recovery without request for fasciotomies. There were neither ischemic, nor neurologic, short, or long-term sequelae in rehabilitation. A brief literature review focusing on these rare true aneurismal presentations was additionally undergone. Conclusion: True TPT aneurisms represent extremely rare vascular pathological entities documented in the literature. Most of these cases unmask with abrupt ischemic inferior limb symptoms. Unless diligent surgical revascularization, their prognostic remains grim, with high limb loss rates.

Keywords

True aneurysm; Acute ischemia; Tibioperoneal trunk; Tibial bypass; Infra-popliteal aneurysm

Cite the article

Dufour L, Alexandrescu VA, Donnay JC. Tibioperoneal Trunk True Aneurysm Complicated by Acute Limb Ischemia. Clin Surg. 2020; 5: 2774..