Lin Ryan P, Rohrich Rachel N, Ferdousian Sami, Akbari Cameron
Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, DC.
Department of Vascular Surgery, MedStar Georgetown University Hospital, Washington, DC.
J Vasc Surg Cases Innov Tech. 2025 Feb 19;11(3):101752. doi: 10.1016/j.jvscit.2025.101752. eCollection 2025 Jun.
Congenital vascular anomalies present significant diagnostic and therapeutic challenges in the scope of vascular surgery. We present a case of anomalous dual posterior tibial (PT) arteries in a diabetic patient with an infected nonhealing foot wound. The clinical, radiologic, and pathological results are presented. We report on a case of a 45-year-old patient with type 2 diabetes mellitus and an infected nonhealing ulceration on the left heel and midfoot. Given concern for ischemic ulceration, an angiogram was performed revealing anomalous dual PT arteries. This rare variant of PT artery anatomy presents challenges in initial diagnosis and limb salvage.
先天性血管异常在血管外科领域带来了重大的诊断和治疗挑战。我们报告一例糖尿病患者出现双支异常胫后动脉，并伴有足部感染性不愈合伤口。本文展示了该病例的临床、放射学及病理学检查结果。我们报道了一名45岁2型糖尿病患者，其左脚后跟和中足出现感染性不愈合溃疡。鉴于怀疑为缺血性溃疡，遂行血管造影，结果显示存在双支异常胫后动脉。这种罕见的胫后动脉解剖变异在初始诊断和肢体挽救方面带来了挑战。
