Aneurysmectomy and Revascularization of Anterior Tibial Artery Aneurysm: Case Report

  • Sato Noriaki
    Division of Cardiovascular Surgery, Niigata Prefectural Central Hospital
  • Kato Kaori
    Division of Cardiovascular Surgery, Niigata Prefectural Central Hospital
  • Takekubo Masaru
    Division of Cardiovascular Surgery, Niigata Prefectural Central Hospital
  • Mimura Shinya
    Division of Cardiovascular Surgery, Niigata Prefectural Central Hospital
  • Namura Osamu
    Division of Cardiovascular Surgery, Niigata Prefectural Central Hospital
  • Sakai Takeshi
    Division of Pathology, Niigata Prefectural Central Hospital
  • Ohzeki Hajime
    Division of Cardiovascular Surgery, Niigata Prefectural Central Hospital

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<p>An 86-year-old man presented with a pulsatile mass in the anterior compartment of the right lower leg. He had become aware of it two months earlier. Computed tomography angiography revealed a fusiform 3.2×5 cm aneurysm of the anterior tibial artery. Mural thrombosis in the aneurysm was absent. Peripheral pulse was normal. We performed aneurysmectomy and revascularization using a saphenous vein graft. Histological findings revealed that the mass was a true aneurysm. The clinical course was good, and the graft has remained patent for six months.</p>

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