Erkut Bilgehan, Ates Azman
Atatürk University, Medical Faculty, Department of Cardiovascular Surgery, Erzurum, Turkey.
EJVES Short Rep. 2019 Aug 13;44:29-32. doi: 10.1016/j.ejvssr.2019.07.003. eCollection 2019.
This is the report of an unusual case of a dorsalis pedis artery pseudo-aneurysm resulting from trauma in a 61 year old farmer.
One year previously, the patient's right foot had been crushed under a tractor wheel. The patient complained of pain and pulsatile soaring swelling on his right foot which he noticed two months before presentation. Radiological examinations revealed a pseudo-aneurysm of the dorsalis pedis artery. Resection of the aneurysm was completed without complications. Pathological findings confirmed an aneurysm of traumatic rather than atherosclerotic aetiology.
The patient remains under follow up without ischaemia. False aneurysms should be treated by surgical or endovascular intervention when they are detected.
本文报告了一例61岁农民因外伤导致足背动脉假性动脉瘤的罕见病例。
一年前，患者右脚被拖拉机轮碾压。患者在就诊前两个月注意到右脚疼痛并伴有搏动性肿胀。影像学检查显示足背动脉假性动脉瘤。动脉瘤切除手术顺利完成，无并发症。病理检查结果证实为外伤性动脉瘤，而非动脉粥样硬化性病因。
患者仍在接受随访，未出现缺血情况。一旦发现假性动脉瘤，应通过手术或血管内介入治疗。
