“Sandal strap” trauma and atherosclerosis are dual pathologies leading to bilateral true aneurysms of the dorsalis pedis arteries

Sonntag, Miranda; Hopper, Neil; Graham, Antony R.

doi:10.1016/j.jvs.2012.09.066

Cited by 10 publications

(8 citation statements)

References 16 publications

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“…5 It is worth noting that repeated minor injuries, such as those caused by ill-fitting shoes, may promote the development of DPA aneurysms. 6 As in my case report, the most frequently described clinical manifestations of aneurysms of the dorsal artery of the foot are a pulsating mass, painful or painless, sometimes associated with itching and discomfort. 7,8 Aragao et al published a review of the literature in 2017, highlighting 24 reported true aneurysms of the dorsalis pedis.…”

Section: Discussionmentioning

confidence: 68%

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True aneurysm of the dorsalis pedis artery

Mahmoud

2022

Vascular

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Objectives Aneurysm of the pedal arteries is uncommon. I present a case of non-traumatic fusiform true aneurysm of the dorsalis pedis artery in an otherwise well 45-year-old man. Color flow duplex imaging revealed aneurysmal dilation, involving all layers of the artery wall, measuring 16.5 * 10 mm with irregular intraluminal thrombus across a 6.33-mm segment. Due to concerns over embolization, our patient underwent successful ligation of the dorsalis pedis artery. He had an uneventful post-operative recovery. Methods Case report Results No postoperative complication or signs of ischemia Conclusions Treatment of asymptomatic dorsalis pedis artery aneurysm may be of value to prevent risk of thrombo-embolic complications, foot ischemia, or rupture without warning signs. Patency of the pedal arch is important to avoid foot ischemia in case of dorsalis pedis artery ligation.

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Section: Discussionmentioning

confidence: 68%

“…5 It is worth noting that repeated minor injuries, such as those caused by ill-fitting shoes, may promote the development of DPA aneurysms. 6…”

Section: Discussionmentioning

confidence: 99%

True aneurysm of the dorsalis pedis artery

Mahmoud

2022

Vascular

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“…Primary dorsalis pedis reconstruction is not well described in the current literature. There are several case reports that describe aneurysmal disease after a traumatic crush injury, arterial access complications, and even attributed to repetitive footwear trauma [12][13][14][15][16]. Long-term patency conclusions from this data are difficult to infer; however, saphenous vein bypass to the dorsalis pedis in atherosclerotic disease has been described.…”

Section: Discussionmentioning

confidence: 95%

Revascularization of a Crushed Foot and Ankle Mortis

Haddi

Garbar

Lottenberg

et al. 2020

Cureus

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Foot crush injury is a difficult problem both from the complexity of the injury pattern standpoint and also the significant clinical and socioeconomic burden that it represents to the patient. Scoring systems exist to predict limb salvage, but the accuracy and implementation of these are varied, and thus clinical judgment must always be employed when attempting limb salvage. This case report describes the first use of a reversed saphenous interposition graft repair of a transected dorsalis pedis in a patient after sustaining crush injuries to the distal lower extremity. The patient was able to undergo partial limb salvage with the use of revascularization and judicious fasciotomies.

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“…Trauma is the most common cause of aneurysm in this site however, it should be noted that patients may not recall the acute event as symptoms may only present once the patient experiences compression of local structures or embolic/rupture events 3. In comparison to an acute traumatic event, there are cases highlighting the role of repetitive low impact trauma causing atherosclerotic change and aneurysmal degeneration in patients otherwise not predisposed to atherosclerosis—examples include tight fitting shoes in patients with congenitally high arches as reported by Sonntag et al 4…”

Section: Discussionmentioning

confidence: 99%

Dorsalis pedis artery aneurysm

et al. 2020

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Aneurysm of the pedal arteries is uncommon. Dorsalis pedis aneurysms are a clinically rare phenomenon. We present a case of traumatic fusiform aneurysm of the dorsalis pedis artery in an otherwise well 53-year-old Caucasian man. Initial history was suggestive of micro-embolic disease to the medial toes of the left foot and on examination pulses were palpable throughout the lower limbs with a strong, palpable dorasalis pedis pulse. Ankle brachial pressure indexes were normal but reduced toe pressures to the left toes. Colour flow duplex imaging revealed aneurysmal dilation, involving all layers of artery wall, with irregular intraluminal thrombus across a 16-mm segment. Subsequent CTA run-off revealed all vessels were patent in the left lower limb. Due to concerns over further embolisation, our patient underwent successful ligation of the his dorsalis pedis. He had an uneventful post-operative recovery.

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“Sandal strap” trauma and atherosclerosis are dual pathologies leading to bilateral true aneurysms of the dorsalis pedis arteries

Cited by 10 publications

References 16 publications

True aneurysm of the dorsalis pedis artery

True aneurysm of the dorsalis pedis artery

Revascularization of a Crushed Foot and Ankle Mortis

Dorsalis pedis artery aneurysm

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