Non-traumatic false aneurysm formation involving the native crural vessels is rare. We present the case of a false aneurysm of the native peroneal artery, which complicated femoro-peroneal bypass grafting. It seemed most likely to be of an infective aetiology, arising as a consequence of contiguous methicillin resistant Staphylococcus aureus wound infection. This was previously unreported in the literature. Successful management was achieved by primary suture, local wound debridement, excision of the distal graft and replacement with an interposition vein graft through uninfected tissue planes.
ClarkE. T. and GewertzB. L., Pseudoaneurysms. In Vascular Surgery, Vol. 1, 2nd edn. R.B. Saunders, Phildelphia 1995, PP 1153–1161.
2.
VasiliakisA., JacksonR. J., RozarG. E.Jr., Revascularisation of a symptomatic pseudoaneurysm of the anterior tibial artery. American Surgeon, 1990, 56 (4), 209–213.
3.
SkudderP. A., GelfandM. L., BlumenbergR. M., Tibial artery false aneurysm: uncommon result of blunt injury occurring during athletics. Annals of Vascular Surgery, 1999, 13 (6), 589–591.
4.
RickmanM., SalehM., GainesP. A., Vascular complications of osteotomies in limb reconstruction. Journal of Bone and Joint Surgery Br., 1999, 81 (5), 890–892.
5.
Van SchilP., VanmaeleR., MosesF., Pseudoaneurysm of the posterior tibial artery as an early complication after Fogarty catheter thrombectomy. European Journal of Vascular Surgery, 1990, 4 (2), 197–199.
6.
CronenwettJ. L., WalshD. B. and GarrettH. E., Tibial artery pseudoaneurysms: delayed complication of balloon catheter embolectomy. Journal of Vascular Surgery, 1998, 8 (4), 483–488.
7.
ErnstC. B., ElliotJ. P.Jr., Recurrent femoral false aneurysms. A thirty year experience. Annals of Surgery, 1998, 208, 401.
8.
WelchT. J. and McKusickM. A., Cardiovascular case of the day. Anastomotic false aneurysm of a right posterior tibial to lateral tarsal bypass graft. American Journal of Roentgenology, 1993, 160 (6), 1316–1317.
9.
ChalmersR. T., SyannA. Y., HoballahJ. J., A distal anastomotic pseudoaneurysm after tibial vein bypass in an immunosuppressed patient. Journal of Vascular Surgery, 1993, 18 (3), 545–547.
10.
YaoJ. S. T. and McCarthyW. J., Multiple arterial aneurysms a seven year follow-up. Contemporary Surgery, 1987, 31, 73–78.
11.
MonigS. P., WalterM., SorgatzS., True infra-popliteal aneurysms: report of two cases and review of the literature. Journal of Vascular Surgery, 1996, 24 (2), 276–278.
12.
HasaniyaN. and KatzenJ. T., Acute compartment syndrome of both lower legs caused by ruptured tibial artery aneurysm in a patient with polyarteritis nodosa: a case report and review of the literature. Journal of Vascular Surgery, 1993, 18, 295–298.
13.
Standing Medical Advisory Committee. The Path of Least Resistance. Main Report. Department of Health, London, 1998
