Department of Vascular Surgery, St Vincent's Hospital, Darlinghurst, New South Wales, Australia.
J Vasc Surg. 2013 May;57(5):1391-4. doi: 10.1016/j.jvs.2012.09.066. Epub 2013 Jan 9.
True aneurysm of the dorsalis pedis artery is rare. To our best knowledge, only 19 cases have been reported in the literature with one case of bilateral involvement. We describe an unusual case of simultaneous, bilateral true aneurysms of the dorsalis pedis arteries due to chronic mild trauma from dorsally positioned sandal straps with secondary atherosclerotic change. This is the first such case reported. Symptomatic aneurysms are at risk for thrombosis or embolization, and surgical management is recommended. In our case, both aneurysms were resected and repaired with interposition graft of saphenous vein. The patient was symptom free at 6-month follow-up.
真正的足背动脉动脉瘤很少见。据我们所知，文献中仅报道了 19 例，其中 1 例为双侧受累。我们描述了一例不常见的双侧足背动脉真性动脉瘤病例，其病因是鞋带上部慢性轻度创伤，伴继发性动脉粥样硬化改变。这是首例此类病例报道。有症状的动脉瘤有血栓形成或栓塞的风险，建议进行手术治疗。在我们的病例中，两个动脉瘤均被切除，并使用大隐静脉间置物进行修复。患者在 6 个月的随访中无任何症状。
