Pseudoaneurysm after Proximal Metatarsal Osteotomy for Hallux Valgus Correction: A Case Report

Kyung Tai Lee; Young Uk Park; Hyuk Jegal; Young Tae Roh; Kee Yong Hong

doi:10.14193/jkfas.2014.18.2.80

Journal List > J Korean Foot Ankle Soc > v.18(2) > 1043338

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Lee, Park, Jegal, Roh, and Hong: Pseudoaneurysm after Proximal Metatarsal Osteotomy for Hallux Valgus Correction: A Case Report

Case Report

J Korean Foot Ankle Soc 2014;18(2):80-82.

Published online: 10 June 2014

DOI: https://doi.org/10.14193/jkfas.2014.18.2.80

Pseudoaneurysm after Proximal Metatarsal Osteotomy for Hallux Valgus Correction: A Case Report

Kyung Tai Lee, Young Uk Park^*,, Hyuk Jegal, Young Tae Roh, Kee Yong Hong^*

Foot and Ankle Service, KT Lee's Orthopedic Hospital, Seoul, Korea

^*Department of Orthopedic Surgery, Ajou University Hospital, Ajou University School of Medicine, Suwon, Korea

Corresponding Author: Young Uk Park Department of Orthopedic Surgery, Ajou University Hospital, 164 WorldCup-ro, Yeongtong-gu, Suwon 443-380, Korea Tel: 82-31-219-5220, Fax: 82-31-219-5229, E-mail: parkyounguk@gmail.com

Received 21 March 2014 Revised 29 March 2014 Accepted 24 April 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Occurrence of pseudoaneurysm in the foot and ankle is rare, and is usually caused by traumatic injury or by iatrogenic intervention. Iatrogenic pseudoaneurysms in the foot and ankle have been observed after rearfoot and ankle fusions, ankle arthroscopy, endoscopic and open plantar fasciotomy, tibial osteotomy with limb lengthening, midfoot amputation, and Lapidus procedure. We report on a patient who developed a pseudoaneurysm of the dorsal metatarsal artery following correction of hallux valgus. The patient underwent proximal chevron osteotomy and Akin phalangeal osteotomy. The feeding artery was ligated and the pseudoaneurysm was excised.

Keywords: Hallux valgus, Corrective osteotomy, Pseudoaneurysm

References

1. Bogokowsky H, Slutzki S, Negri M, Halpern Z. Pseudoaneurysm of the dorsalis pedis artery. Injury. 1985; 16:424–5.

2. Economou P, Paton R, Galasko CS. Traumatic pseudoaneurysm of the lateral plantar artery in a child. J Pediatr Surg. 1993; 28:626.

3. Higgs SL. Arteriovenous aneurysm of the posterior tibial vessels following operation for stabilizing the foot. Proc R Soc Med. 1931; 24:1378–9.

4. Nierenberg G, Hoffman A, Engel A, Stein H. Pseudoaneurysm with an arteriovenous fistula of the tibial vessels after plantar fasciotomy: a case report. Foot Ankle Int. 1997; 18:524–5.

5. Bandy WD, Strong L, Roberts T, Dyer R. False aneurysm–a complication following an inversion ankle sprain: a case report. J Orthop Sports Phys Ther. 1996; 23:272–9.

6. Thornton BP, Minion DJ, Quick R, Vasconez HC, Endean ED. Pseudoaneurysm of the lateral plantar artery after foot laceration. J Vasc Surg. 2003; 37:672–5.

7. Yamaguchi S, Mii S, Yonemitsu Y, Orita H, Sakata H. A traumatic pseudoaneurysm of the dorsalis pedis artery: report of a case. Surg Today. 2002; 32:756–7.

8. Wollstein R, Wolf Y, Sklair-Levy M, Matan Y, London E, Nyska M. Obliteration of a late traumatic posterior tibial artery pseudoaneurysm by duplex compression. J Trauma. 2000; 48:1156–8.

9. Aiyer S, Thakkar CJ, Samant PD, Verlekar S, Nirawane R. Pseudoaneurysm of the posterior tibial artery following a closed fracture of the calcaneus. A case report. J Bone Joint Surg Am. 2005; 87:2308–12.

10. Maydew MS. Dorsalis pedis aneurysm: ultrasound diagnosis. Emerg Radiol. 2007; 13:277–80.

Figure 1.

(A) A 55-year-old woman presented for evaluation of a mass on the dorsum of the left foot. (B) She had a proximal chevron osteotomy and Akin osteotomy with Kirschner wires fixation. (C) Ultrasound of the soft tissue mass was performed, demonstrating an ovoid heterogeneous well-defined vascular mass measuring 1.3 cm longitudinally by 1.6 cm transversely by 1.2 cm in depth. Echogenic mural thrombus surrounded a central, well-defined, 8-mm diameter anechoic region within the mass that contained swirling vascular signal on color Doppler ultrasound. (D, E) The artery was then ligated and the pseudoaneurysm was excised (D, before excision; E, after excision). (F) Gross photograph of cross section of a mass.

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