Tibioperoneal Trunk Aneurysm Resulting in Compartment Syndrome with Associated Aneurysms of the Popliteal and Dorsalis Pedis Arteries

Endovascular coil embolization of a large tibioperoneal trunk pseudoaneurysm

“…[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. Vascular damage sustained during the previous surgery was thought to have been the cause of the pseudoaneurysm.…”

“…Symptomatic patients with tibioperoneal trunk aneurysm typically present with chronic calf pain or swelling. Atypical presentations such as blue toe syndrome, 15 neurologic compromise resulting from compartment syndrome, 6 , 14 and acute pain with limb ischemia due to rupture of an aneurysm 7 , 10 have also been reported. Some patients are asymptomatic and the aneurysm is detected incidentally even if it is large.…”

“…However, the optimal size at which infrapopliteal aneurysms should be treated has not been clearly established. Small asymptomatic aneurysms may be observed safely, 17 but Ventarola et al 14 recommended repair for tibioperoneal trunk aneurysms of >1.5 cm and for tibial arterial aneurysms of even smaller dimensions.…”

Management of tibioperoneal trunk aneurysm in a patient with Behçet disease

“…Tibioperoneal artery aneurysms are rare and are mostly due to trauma, infection, and iatrogenic injuries. 9 After careful literature search, we identified eight cases of patients with TPT aneurysms, 4 , 9 , 10 , 11 , 12 , 13 , 14 only one of which was secondary to Behçet disease. 4 The aneurysm was 6.6 cm in diameter and was resected, followed by a below-knee popliteal to distal posterior tibial artery bypass using reversed ipsilateral great saphenous vein graft.…”

“…Two of the other reported TPT aneurysms were due to atherosclerosis, 13 , 14 and the remaining five were of unspecified etiology. 9 , 10 , 11 , 12 , 13 On the other hand, in 2011, Rico et al 15 reported a case of a 41-year-old man with Behçet disease who presented with a ruptured tibioperoneal pseudoaneurysm. The patient underwent emergent endovascular embolization with three 5-mm metallic coils.…”