True aneurysms of the anterior tibial artery are rare with less than 20 published reports in the literature. We report an urgent endovascular repair of a true anterior tibial artery aneurysm in a patient with Ehlers-Danlos type IV, vascular type. This approach resulted in an uneventful recovery without the elevated risks associated with open vascular repair in the setting of connective tissue disorder. Continuous follow-up in the subsequent 4 years has demonstrated durability and efficacy of the original intervention.
BorozanPGWalkerHS IIIPetersonGJ. True tibial artery aneurysms: case report and literature review. J Vasc Surg. 1989;10(4):457–459.
2.
CareyLCStrempleJF. An aneurysm of the anterior tibial artery. A case report. Angiology. 1967;18(2):117–121.
3.
CrellinRQTsapogasMJ. Traumatic aneurysm of the anterior tibial artery. Report of a case. J Bone Joint Surg Br. 1963;45(B):142–144.
4.
FallonM. Aneurysm of the anterior tibial artery. Lancet. 1944;244(6313):270–272.
5.
JohnSMGreerMS. True anterior tibial artery aneurysm in a runner. Am Surg. 2014;80(11):E298–E299.
6.
KalkoYBasaranMAydinUKafaUBasaranogluGYasarT. The surgical treatment of arterial aneurysms in Behcet disease: a report of 16 patients. J Vasc Surg. 2005;42(4):673–677.
LeoceBMBernikJTGuptaAMDardikHBernikTR. True aneurysm of the anterior tibial artery. Ann Vasc Surg. 2018;48:251 e251–251 e253.
9.
MusioDPerfumoMCGazzolaVPaneBSpinellaGPalomboD. A true giant aneurysm of the anterior tibial artery. Ann Vasc Surg. 2015;29(6):1319e1315–e1319.
10.
NwilatiAEAlQedraDShafieiMAlSalehFM. True anterior tibial artery aneurysm with rupture and compartment syndrome. J Vasc Surg. 2019;70(5):e198–e199.
11.
OeconomosN.Aneurysm of the anterior tibial artery secondary to an osteosynthesis for pseudarthrosis of the bones of the leg [in French]. Presse Med. 1959;67:1902.
12.
OnoSShimogawaraTYamazoeSMatsuiJ. Successful endovascular isolation of a huge true anterior tibial artery aneurysm by the bi-directional approach in a young patient. Catheter Cardiovasc Interv. 2020;95(6):E175–E178.
13.
Payne-JamesJJ. Infected aneurysm of the anterior tibial artery. Br J Clin Pract. 1988;42(12):522–524.
14.
RooneyRCJrRooneyRC. Anterior tibial aneurysm following inversion injury to the ankle. J Orthop Trauma. 1999;13(7):511–513.
15.
SalcuniPAzzaroneMUgolottiUMandrioliRTecchioT. An unusual case of a double location of arteriosclerotic aneurysms of the ulnar artery and anterior tibial artery [in Spanish]. Angiologia. 1991;43(1):1–6.
16.
SatoNKatoKTakekuboM, et al.Aneurysmectomy and revascularization of anterior tibial artery aneurysm: case report. Ann Vasc Dis. 2019;12(4):548–550.
17.
ShengNDealRAFarlowECKeenR. Aneurysm of the anterior tibial artery. Society for Clinical Vascular Surgery; March2019; Boca Raton.
18.
SigtermanTADolmansDEWeltenRJKrasznaiABouwmanLH. Anterior tibial artery aneurysm: case report and literature review. Int J Surg Case Rep. 2013;4(3):243–245.
19.
YoungLPStanleyAMenzoianJO. An anterior tibial artery aneurysm in a patient with neurofibromatosis. J Vasc Surg. 2001;33(5):1114–1117.
20.
FaccennaFAlunnoAFelliMM, et al.Tibioperoneal true aneurysm: case report and literature review. G Chir. 2011;32(8-9):379–383.
GermainDP. Clinical and genetic features of vascular Ehlers-Danlos syndrome. Ann Vasc Surg. 2002;16(3):391–397.
23.
BrookeBSArnaoutakisGMcDonnellNBBlackJH3rd. Contemporary management of vascular complications associated with Ehlers-Danlos syndrome. J Vasc Surg. 2010;51(1):131–138; discussion 138-139.
24.
BergqvistDBjorckMWanhainenA. Treatment of vascular Ehlers-Danlos syndrome: a systematic review. Ann Surg. 2013;258(2):257–261.
25.
OderichGSPannetonJMBowerTC, et al.The spectrum, management and clinical outcome of Ehlers-Danlos syndrome type IV: a 30-year experience. J Vasc Surg. 2005;42(1):98–106.
26.
LydenSP. Techniques and outcomes for endovascular treatment in the tibial arteries. J Vasc Surg. 2009;50(5):1219–1223.
