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Pseudoaneurysm as a complication of ankle arthroscopy.

Brimmo OA, Parekh SG - Indian J Orthop (2010)

Bottom Line: We present a case of a pseudoaneurysm of the anterior tibial artery following ankle arthroscopy with synovectomy, an extremely rare complication when standard anteromedial and anterolateral portals are used.The patient was diagnosed and treated with appropriate interventions which led to an uneventful recovery.Nevertheless, the potential sequelae of delayed diagnosis or misdiagnosis of the complication are dangerous; therefore, a high index of suspicion for a pseudoaneurysm must be maintained in the postoperative period.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, St. John's Mercy Medical Center, St. Louis University, St. Louis, MO, USA.

ABSTRACT
We present a case of a pseudoaneurysm of the anterior tibial artery following ankle arthroscopy with synovectomy, an extremely rare complication when standard anteromedial and anterolateral portals are used. The patient was diagnosed and treated with appropriate interventions which led to an uneventful recovery. Nevertheless, the potential sequelae of delayed diagnosis or misdiagnosis of the complication are dangerous; therefore, a high index of suspicion for a pseudoaneurysm must be maintained in the postoperative period.

No MeSH data available.


Related in: MedlinePlus

Arteriogram of the right lower extremity confirming the diagnosis of a pseudoaneurysm arising from the anterior tibial artery as it crossed the ankle joint
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Figure 0004: Arteriogram of the right lower extremity confirming the diagnosis of a pseudoaneurysm arising from the anterior tibial artery as it crossed the ankle joint

Mentions: An MRI and duplex scan (Doppler ultrasonography) of the right ankle confirmed the diagnosis of a pseudoaneurysm arising from the anterior tibial artery as it crossed the ankle joint [Figure 3]. The patient was referred to the vascular surgery team, where he underwent an arteriogram of the right lower extremity [Figure 4] with successful ultrasound-guided thrombin injection of the pseudoaneurysm. After the procedure, Doppler signals within the anterior tibial artery and dorsalis pedis artery were within normal limits. The patient's subsequent recovery was uneventful, after a 9-month follow-up.


Pseudoaneurysm as a complication of ankle arthroscopy.

Brimmo OA, Parekh SG - Indian J Orthop (2010)

Arteriogram of the right lower extremity confirming the diagnosis of a pseudoaneurysm arising from the anterior tibial artery as it crossed the ankle joint
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2822412&req=5

Figure 0004: Arteriogram of the right lower extremity confirming the diagnosis of a pseudoaneurysm arising from the anterior tibial artery as it crossed the ankle joint
Mentions: An MRI and duplex scan (Doppler ultrasonography) of the right ankle confirmed the diagnosis of a pseudoaneurysm arising from the anterior tibial artery as it crossed the ankle joint [Figure 3]. The patient was referred to the vascular surgery team, where he underwent an arteriogram of the right lower extremity [Figure 4] with successful ultrasound-guided thrombin injection of the pseudoaneurysm. After the procedure, Doppler signals within the anterior tibial artery and dorsalis pedis artery were within normal limits. The patient's subsequent recovery was uneventful, after a 9-month follow-up.

Bottom Line: We present a case of a pseudoaneurysm of the anterior tibial artery following ankle arthroscopy with synovectomy, an extremely rare complication when standard anteromedial and anterolateral portals are used.The patient was diagnosed and treated with appropriate interventions which led to an uneventful recovery.Nevertheless, the potential sequelae of delayed diagnosis or misdiagnosis of the complication are dangerous; therefore, a high index of suspicion for a pseudoaneurysm must be maintained in the postoperative period.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, St. John's Mercy Medical Center, St. Louis University, St. Louis, MO, USA.

ABSTRACT
We present a case of a pseudoaneurysm of the anterior tibial artery following ankle arthroscopy with synovectomy, an extremely rare complication when standard anteromedial and anterolateral portals are used. The patient was diagnosed and treated with appropriate interventions which led to an uneventful recovery. Nevertheless, the potential sequelae of delayed diagnosis or misdiagnosis of the complication are dangerous; therefore, a high index of suspicion for a pseudoaneurysm must be maintained in the postoperative period.

No MeSH data available.


Related in: MedlinePlus