Ferrero Emanuele, Ferri Michelangelo, Viazzo Andrea, Gaggiano Andrea, Berardi Giuseppe, Piazza Salvatore, Cumbo Pia, Castagno Claudio, Pecchio Alberto, Nessi Franco
Vascular and Endovascular Surgery Unit, Mauriziano Umberto I Hospital, Turin, Italy.
Ann Vasc Surg. 2010 Nov;24(8):1134.e9-13. doi: 10.1016/j.avsg.2010.01.016. Epub 2010 Jul 6.
True aneurysms of tibial artery are rare occurrences and their rupture is really rare. We report the case of a 59-year-old man who, after an episode of bacterial endocarditis, presented a posterior tibial aneurysm formation evolved in rupture. To our knowledge, this is the first case of a true giant aneurysm rupture of the posterior tibial artery (diameter, 6 cm). The treatment consisted of aneurysmectomy and surgical arterial ligation. A follow-up of 24 months was performed with good results.
胫动脉真性动脉瘤罕见,其破裂更是罕见。我们报告一例59岁男性病例,该患者在发生细菌性心内膜炎后,出现胫后动脉瘤并破裂。据我们所知,这是首例胫后动脉真性巨大动脉瘤破裂(直径6 cm)。治疗方法为动脉瘤切除术和动脉结扎术。进行了24个月的随访,结果良好。