Rotmans Joris I, van der Wal Robert J P, Schepers Abbey
Department of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands.
Department of Orthopedic Surgery, Leiden University Medical Center, Leiden, The Netherlands.
J Vasc Surg Cases Innov Tech. 2020 Feb 20;6(1):118-120. doi: 10.1016/j.jvscit.2019.12.006. eCollection 2020 Mar.
A 44-year-old man presented with symptoms of intermittent ischemia of the right foot. Computed tomography scanning of the right foot revealed a talar beak that had a close anatomic relation with the dorsalis pedis artery. Duplex ultrasound performed during a symptomatic episode confirmed ischemia induced by severe vasospasm of the dorsalis pedis artery that normalized 30 minutes later. The talar beak was removed by open surgery that resulted in complete resolution of the patient's symptoms. A talar beak should be considered in intermittent ischemic complaints of the foot in patients without atherosclerosis.
一名44岁男性出现右脚间歇性缺血症状。右脚计算机断层扫描显示距骨喙与足背动脉存在密切解剖关系。在症状发作期间进行的双功超声检查证实，足背动脉严重血管痉挛导致缺血，30分钟后恢复正常。通过开放手术切除距骨喙后，患者症状完全缓解。对于无动脉粥样硬化的足部间歇性缺血性主诉患者，应考虑距骨喙的因素。
