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累及向足背动脉移行处的胫前动脉瘤,一项治疗挑战。

Anterior tibial aneurysm involving the transition to the dorsalis pedis, a therapeutic challenge.

作者信息

de Castro Alexandre Marochi, de Castro Aline Marochi, Evangelista Matheus Schimidt, Michaelis Wilson, Santos Antônio Lacerda

机构信息

Faculdade Evangélica Mackenzie do Paraná - FEMPAR, Curitiba, PR, Brasil.

Pontifícia Universidade Católica do Paraná - PUC-PR, Curitiba, PR, Brasil.

出版信息

J Vasc Bras. 2025 May 2;24:e20240122. doi: 10.1590/1677-5449.202401222. eCollection 2025.

Abstract

An aneurysm of the anterior tibial artery is always a challenge because it does not provoke symptoms and when a pulsating mass is detected, the aneurysm diameter is already enlarged and there is a greater likelihood of rupture or thrombosis. We report the case of a healthy, 53-year-old, female patient diagnosed with an aneurysm of the anterior tibial artery at the transition to the dorsalis pedis artery, which was identified during ultrasonography performed to investigate plantar fasciitis. The aneurysm was treated by coil embolization and there were no complications.

摘要

胫前动脉动脉瘤始终是一项挑战,因为它不会引发症状,而当发现搏动性肿块时,动脉瘤直径已经增大,破裂或血栓形成的可能性更大。我们报告一例健康的53岁女性患者,在对足底筋膜炎进行超声检查时,被诊断出在胫前动脉向足背动脉移行处存在动脉瘤。该动脉瘤通过弹簧圈栓塞治疗,未出现并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/add7/12061359/e7df821b7280/jvb-24-e20240122-g01-en.jpg

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