Murat UĞURLUCAN, Ahmet Hulisi ARSLAN, Zuhal TORLAK, Hüseyin Yener ERKEN, Kutlay KARAMAN, Fatma BAHÇECİ, Sertaç ÇİÇEK

Araç Dışı Trafik Kazası Sonrası Arteria Tibialis Anterior Psödoanevrizması ve Cilde Fistülizasyonu

Arteria tibialis anterior psödoanevrizmaları nadir karşılaşılan vasküler patolojiler arasındadır. Vakaların çoğunda etken penetran travmadır. Tedavi sıklıkla cerrahidir ve psödoanevrizmanın rezeksiyonu ile birlikte arteria tibialis anteriorun ligasyonu ile gerçekleştirilir. Bu yazıda araç dışı trafik kazası sonrası arteria tibialis anteriorda psödoanevrizma gelişen ve psödoanevrizmanın rezeksiyonu ile birlikte arteryal rekonstrüksiyon ile cerrahi tedavisi yapılan 22 yaşında erkek hasta anlatılacaktır.

Anterior Tibial Artery Pseudoaneurysm and Cutaneous Fistulization Following Exterior Vehicle Traffic Accident

Pseudoaneurysms of the anterior tibial artery are rare vascular disorders. Etiology is a penetrating trauma in most of the cases. Pathology is usually treated with surgical measures by resection of the pseudoaneurysm and ligation of the anterior tibial artery. In this report, we present a 22-year-old male patient in whom anterior tibial artery pseudoaneurysm developed after an exterior vehicle traffic accident and who was treated by resection of the pseudoaneurysm together with arterial reconstruction

Keywords:

anterior tibial artery, pseudoaneurysm, resection, patchplasty,

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Tor F, Çakır H, Çetinoğlu M, Özsöyler İ. [Anterior Tibial Artery Pseudoaneurysm: Case Report]. Cukurova Med J. 2012; 37(3): 172-175.

Beşir FH, Özdemir H, Bayar A. İyatrojenik anterior tibial arter psödoanevrizmasının endovasküler koil ve glue kombinasyonu ile tedavisi. Düzce Tıp Dergisi 2011; 13(1): 53-56.

Sacar M, Önem G, Emrecan B, Verdi D, Arslan M, Baltalarlı A. Anterior tibial artery pseudoaneurysm and surgical management. Pau Med J. 2008; 1(3): 143-145

Suri T, Dabas V, Sural S, Dhal A. Pseudoaneurysm of the anterior tibial artery: A rare complication of proximal tibial steinman pin insertion. Indian J Orthop. 2011 Mar;45(2):178-80.

Fraser JD, Cully BE, Rivard DC, Leys CM, Holcomb GW 3rd, St Peter SD. Traumatic pseudoaneurysm of the anterior tibial artery treated with ultrasound-guided thrombin injection in a pediatric patient. J Pediatr Surg. 2009 Feb;44(2):444-7.

Inamdar D, Alagappan M, Shyam L, Devadoss S, Devadoss A. Pseudoaneurysm of anterior tibial artery following tibial nailing: a case report. J Orthop Surg (Hong Kong). 2005 Aug;13(2):186-9.

Marron CD, McKay D, Johnston R, McAteer E, Stirling WJ. Pseudo- aneurysm of the anterior tibial artery, a rare cause of ankle swelling following a sports injury. BMC Emerg Med. 2005 Oct 14;5:9.

Goksu E, Kucukyilmaz O, Soyuncu S, Yigit O. Pseudoaneurysm of the anterior tibial artery detected by emergency medicine physician performing bedside ultrasound. Am J Emerg Med. 2009 Jan;27(1):129.e3-4.

Shah S, Fischman A, Marin M, Won J. Spontaneous tibioperoneal trunk and anterior tibial artery pseudoaneurysms. Vasc Med. 2012 Jun;17(3):164-7.

Alpagut U, Ugurlucan M, Dayioglu E. Major arterial involvement and review of Behcet’s disease. Ann Vasc Surg. 2007 Mar;21(2):232-9.

Uğurlucan M, Erdim F, Başaran M, Demit T, Alpagut U, Dayıoğlu E, Onursal E. Behçet hastalığında vasküler komplikasyonlar – Olgu sunumu. Turkish J Vasc Surg. 2003; 12(2): 33-35.

Sever K, Uğurlucan M, Başaran M, Alpagut U, Dayıoğlu E. Popliteal Arter Anevrizmaları. İ Ü Kardiyol Enst Derg 2004; 3 (8):19-24.

Aksoy M. Akut Alt Ekstremite İskemisinde Tromboza Yaklaşım. İ Ü Kardiyol Enst Derg 2009; 8 (3): 27-32.

Yu PT, Rice-Townsend S, Naheedy J, Almodavar H, Mooney DP. Delayed presentation of traumatic infrapopliteal arteriovenous fistula and pseudoaneursym in a 10-year-old boy managed by coil embolization. J Pediatr Surg. 2012 Feb;47(2):e7-10.

Golledge J, Velu R, Quigley F. Use of a covered stent to treat two large false aneurysms of the anterior tibial artery. J Vasc Surg. 2008 May;47(5):1090

Rico JV, Pedrajas FG, González IC, Segura Iglesias RJ. Urgent endovascular treatment of a ruptured tibioperoneal pseudoaneurysm in Behçet’s disease. Ann Vasc Surg. 2011 Apr;25(3):385.e11-4.