Delayed Tibioperoneal Trunk Aneurysm after Atherectomy and Balloon Angioplasty

Endovascular coil embolization of a large tibioperoneal trunk pseudoaneurysm

“…The most common cause of tibioperoneal trunk aneurysm is arterial infection secondary to infective endocarditis. 2 , 3 , 4 , 5 , 6 , 7 Other causes include trauma, 8 iatrogenic trauma, 9 Behçet disease, 10 , 11 and arteriosclerosis, 12 but some cases are idiopathic. 13 , 14 In this case, no obvious predisposing factors other than a history of surgery to the left calf were detected by a careful review of the patient's medical history and preoperative examinations.…”

“…Classic surgical resection with or without arterial reconstruction is an effective and durable method. Arterial reconstruction can be done with interposition grafting 2 , 9 11 , 13 , 15 or bypass to the distal tibial artery. 5 , 7 , 10 If the collateral flow is adequate, arterial reconstruction after sacrificing both orifices of the posterior tibial and peroneal arteries may not always be necessary.…”