Arterial color duplex study was performed for bilateral lower limbs which revealed mild atherosclerosis of the arteries without narrowing or blockage, no aneurysms in the popliteal arteries and confirmed the presence of a right DPA aneurysm with a small mural thrombus. Right foot toes pressure measurement showed normal readings (Fig.2).
Surgical exploration was carried out under ankle block. A longitudinal skin incision was made directly over the aneurysm. Sharp dissection through fascia revealed a 3 cm DPA saccular aneurysm and it was controlled proximally and distally using vessel loops (Fig.3).
Therefore, the aneurysm was resected and an end-to-end anastomosis was done. Good pulsation was noted distal to the repair after closure. The patient’s recovery was straightforward and no further problems were identified on follow-up (Fig.4).
True-atherosclerotic aneurysms of the DPA are rare with few cases reported in the most recent literature. There is little knowledge of the natural history of DPA aneurysms6. Although some authors believe that it occurs significantly more often than it is reported7. Some studies suggest that if there aneurysm that location, other locations should be searched through careful clinical examination and imaging studies8. …show more content…
Aneurysms of the dorsalis pedis arteries are rare. Five to ten percent of individuals do not even have this artery. Patients may be asymptomatic or they may complain of itching, pain, paresthesia and the need to restrict the choice of footwear. These are the same symptoms as for other foot lumps. However, these are pulsatile. A painful aneurysm may be more likely to rupture. A ganglion cyst or other lesion could also present as a pulsatile mass if it were adjacent to the artery. It is not advisable to attempt a needle aspiration of a pulsatile mass, because bleeding or other complications might
Surgical exploration was carried out under ankle block. A longitudinal skin incision was made directly over the aneurysm. Sharp dissection through fascia revealed a 3 cm DPA saccular aneurysm and it was controlled proximally and distally using vessel loops (Fig.3).
Therefore, the aneurysm was resected and an end-to-end anastomosis was done. Good pulsation was noted distal to the repair after closure. The patient’s recovery was straightforward and no further problems were identified on follow-up (Fig.4).
True-atherosclerotic aneurysms of the DPA are rare with few cases reported in the most recent literature. There is little knowledge of the natural history of DPA aneurysms6. Although some authors believe that it occurs significantly more often than it is reported7. Some studies suggest that if there aneurysm that location, other locations should be searched through careful clinical examination and imaging studies8. …show more content…
Aneurysms of the dorsalis pedis arteries are rare. Five to ten percent of individuals do not even have this artery. Patients may be asymptomatic or they may complain of itching, pain, paresthesia and the need to restrict the choice of footwear. These are the same symptoms as for other foot lumps. However, these are pulsatile. A painful aneurysm may be more likely to rupture. A ganglion cyst or other lesion could also present as a pulsatile mass if it were adjacent to the artery. It is not advisable to attempt a needle aspiration of a pulsatile mass, because bleeding or other complications might