Isolated aneurysm of the dorsalis pedis artery
1995; Elsevier BV; Volume: 9; Issue: 4 Linguagem: Inglês
10.1016/s1078-5884(05)80022-x
ISSN1532-2165
AutoresG Morettini, M Ventura, G A Marino, C. Petrassi, C Spartera,
Tópico(s)Vascular anomalies and interventions
ResumoA 38-year-old man presented with a pulsatile mass on the dorsum of the left foot, present for 2 years with no history of trauma. The mass was slowly enlarging with minimal symptoms except for difficulty in put t ing on his shoes. The only possible risk-factors were treated hyper tension and cigarette smoking (20 cig. /day). All laboratory tests, including VDRL and immunological tests ( immunoelectrophoresis, antinuclear and antismooth muscle antibodies) were negative. Clinical examination showed a 3 × 3cm pulsatile mass on the dorsum of the foot (Fig. 1). No other aneurysms were present. Echography and computer ised tomography conf i rmed the aneurysm and did not show any intraluminal thrombus, nor calcification or erosion of the under ly ing bone. Angiography demonst ra ted a normal arterial tree with a saccular aneurysm of the left dorsalis pedis artery. The aneurysm was resected and continuity re-established with an end-to-end anastomosis using 7 /0 in terrupted polypropylene sutures (Fig. 2). The postoperat ive outcome was uneventful
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