Arriagada Irarrazaval Cristián, Sonneborn Gross Ricardo, Sauré Maritano Alexandre, Soto Diez Carolina
Burns Surgery Unit, Hospital Asistencia Publica, Santiago, Chile.
Case Rep Vasc Med. 2012;2012:234351. doi: 10.1155/2012/234351. Epub 2012 Mar 29.
Pseudoaneurysm of the pedal artery is usually caused by traumatic or iatrogenic events. Diagnosis is suspected by palpation of a pulsatile mass and detection of an associated systolic bruit. Confirmation is made by Doppler US. Angiography can demonstrate the presence of collateral circulation and assure distal vascular flow. We present the case of a 49-year-old man who presents 3 months after a traumatic contusion of his left foot with a pulsatile mass. A color Doppler ultrasound confirms a pseudoaneurysm of the pedal artery. The patient underwent surgical resection of the mass and suture ligation of the artery with full recovery and no ischemic complications.
足部动脉假性动脉瘤通常由创伤或医源性事件引起。通过触诊搏动性肿块和检测相关的收缩期杂音怀疑诊断。通过多普勒超声进行确诊。血管造影可以显示侧支循环的存在并确保远端血管血流。我们报告一例49岁男性病例，他在左脚创伤性挫伤3个月后出现一个搏动性肿块。彩色多普勒超声证实为足部动脉假性动脉瘤。患者接受了肿块的手术切除和动脉缝扎术，完全康复且无缺血性并发症。
