Bittner James G, Hardy David, Biddinger Paul W, Agarwal Gautam
Department of Surgery, Georgia Health Sciences University Medical College of Georgia, Augusta, GA 30912, USA.
Ann Vasc Surg. 2012 Feb;26(2):279.e13-6. doi: 10.1016/j.avsg.2011.05.040.
This report is the first to describe the clinical, radiographic, operative, and pathologic findings associated with large, bilateral dorsalis pedis artery true aneurysms in a single patient. A 61-year-old African American woman complained of difficulty in wearing shoes. She had a moderately firm, nontender, pulsatile mass on the dorsum of her right foot. Computed tomography and angiography confirmed dorsalis pedis artery aneurysm with sufficient collateralization. She underwent resection without reconstruction. Pathologic analysis revealed a true aneurysm (8 × 5.3 × 4.1 cm(3)) containing intralumenal thrombus. Treatment for small symptomatic and large dorsalis pedis artery aneurysms remains resection with or without reconstruction.
本报告首次描述了一名患者双侧足背动脉大型真性动脉瘤的临床、影像学、手术及病理表现。一名61岁非裔美国女性主诉穿鞋困难。她右足背有一个中等硬度、无压痛、搏动性肿块。计算机断层扫描和血管造影证实为足背动脉动脉瘤且侧支循环充足。她接受了切除手术，未进行重建。病理分析显示为一个含有腔内血栓的真性动脉瘤（8×5.3×4.1 cm³）。对于小型有症状的和大型足背动脉动脉瘤，治疗方法仍然是切除，可选择进行或不进行重建。
