El Bakbachi O, Antoniou G A, McWilliams R G, Jones D R
Vascular and Endovascular Service, Royal Liverpool University Hospital, Liverpool , UK.
Department of Vascular and Endovascular Surgery, The Royal Oldham Hospital, Pennine Acute Hospitals NHS Trust, Manchester , UK.
Ann R Coll Surg Engl. 2017 Apr;99(4):e119-e122. doi: 10.1308/rcsann.2017.0023.
True aneurysm of the tibial arteries is a rare clinical condition. We report the case of a 67-year-old man who presented with a gradual onset of right calf swelling and pain. Imaging revealed large aneurysms arising from the proximal peroneal arteries bilaterally, measuring 7.4cm and 4cm on the right and left respectively. A detailed medical history, clinical examination and laboratory investigations did not identify evidence of an underlying cause. A surgical reconstruction with an interposition vein graft was successfully performed. To our knowledge, this is the first reported case of primary aneurysm of the peroneal artery in the English literature. We undertook a systematic literature review to identify all reported cases of primary aneurysms of the tibial arteries. The clinical presentation, modes of investigation and interventional treatments are discussed.
胫动脉真性动脉瘤是一种罕见的临床病症。我们报告一例67岁男性病例，该患者出现右小腿逐渐肿胀和疼痛。影像学检查显示双侧腓总动脉近端出现大动脉瘤，右侧大小为7.4厘米，左侧为4厘米。详细的病史、临床检查和实验室检查未发现潜在病因的证据。成功进行了静脉移植搭桥手术重建。据我们所知，这是英文文献中首次报道的腓动脉原发性动脉瘤病例。我们进行了系统的文献综述，以确定所有已报道的胫动脉原发性动脉瘤病例。并对临床表现、检查方式和介入治疗进行了讨论。
