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Wang, Cho, Park, and Kim: Coil Embolization of a Pseudoaneurysm of the Anterior Tibial Artery: A Case Report
Case Report

J Korean Foot Ankle Soc 2016;20(1):43-45.

Published online: 10 March 2016

DOI: https://doi.org/10.14193/jkfas.2016.20.1.43

Coil Embolization of a Pseudoaneurysm of the Anterior Tibial Artery: A Case Report

Tae-Hyun Wang, Hyung-Lae Cho, Ki-Bong Park, Duc-Hee Kim

Department of Orthopaedic Surgery, Good Samsun Hospital, Busan, Korea

Corresponding Author: Ki-Bong Park Department of Orthopaedic Surgery, Good Samsun Hospital, 326 Gaya-daero, Sasang-gu, Busan 47007, Korea Tel: 82-51-310-9289, Fax: 82-51-310-9348, E-mail: keybongpark@naver.com

Received 9 December 2015       Revised 29 December 2015       Accepted 2 February 2016

Copyright © 2016 Korean Foot and Ankle Society

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Development of a pseudoaneurysm around the ankle is an uncommon complication after surgery. We experienced a case of a pseudoaneurysm, which developed from the anterior tibial artery. A 44-year-old woman had sustained painful swelling of her right ankle after the removal of implants for a distal fibular fracture. The pseudoaneurysm was confirmed by ultrasonography and angiography. The patient was treated with an intervention using a coil and recovered without further complaints. This case report aims to increase the awareness of this complication with review of literature.

Keywords: Anterior tibial artery, Pseudoaneurysm, Coil embolization

References

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Figure 1.
(A) Initial anteroposterior radiograph demonstrates the distal fibular fracture. (B) Follow-up radiograph at postoperative 12 months after initial operation demonstrates the bone union. (C) Postoperative radiograph demonstrates the removal status of metal implants.
jkfas-20-43f1.tif
Figure 2.
(A) Ultrasonography shows hypoechoic oval shaped lesion beside the fibula. (B) Color flow Doppler scan shows blood circulation into the pseudoaneurysm.
jkfas-20-43f2.tif
Figure 3.
(A) Femoral arteriogram shows pseudoaneurysm of anterior tibial artery. (B) Pseudoaneurysm completely excluded from circulation by embolization with microcoils.
jkfas-20-43f3.tif
Table 1.
Review of Reported Cases in the Korean Literature
Author Etiology Symptom Duration Involved artery Treatment
Chun et al.2) Ankle arthroscopy, anterolateral portal Pain, swelling 8 wk Anterior tibial artery Arthroscopic surgery and secondary ligation
Baek et al.3) Minor sports injury Sleep disturbance, weight bearing difficulty 3 days Anterior tibial artery Ligation
Han et al.4) Intramedullary nailing, distal locking screw Enlarging tender, pulsating mass 10 days Anterior tibial artery Resection and vein graft
Kim et al.5) Closed reduction and percutaneous fixation Painful mass 11 mo Posterior tibial artery Ligation and excision of mass
Present study Removal of implant, lag screw Pain, swelling 16 days Anterior tibial artery, lateral malleolar branch Intervention using coil
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