Dorsalis pedis artery true aneurysm due to atherosclerosis: Case report and literature review Takayoshi Kato, MD, Hisato Takagi, MD, PhD, Seishiro Sekino,

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Presentation transcript:

Dorsalis pedis artery true aneurysm due to atherosclerosis: Case report and literature review Takayoshi Kato, MD, Hisato Takagi, MD, PhD, Seishiro Sekino, MD, Hideaki Manabe, MD, Yukihiro Matsuno, MD, PhD, Kyu-ichi Furuhashi, MD, Yasutomo Sekido, MD, PhD, Takuya Umemoto, MD, PhD Journal of Vascular Surgery Volume 40, Issue 5, Pages 1044-1048 (November 2004) DOI: 10.1016/j.jvs.2004.08.052 Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 1 Magnetic resonance images reveal a dorsalis pedis artery aneurysm (arrow) and patent lateral pedal arch from posterior tibial artery. Arrowhead shows mural thrombi as a gray concentric area. Journal of Vascular Surgery 2004 40, 1044-1048DOI: (10.1016/j.jvs.2004.08.052) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 2 At surgery, no adhesion was disclosed around aneurysm. Journal of Vascular Surgery 2004 40, 1044-1048DOI: (10.1016/j.jvs.2004.08.052) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 3 Staining of aneurysmal wall shows marked stenosis caused by mural thrombi. Smooth muscle layer is partially disrupted and replaced with dense fibrous tissue. Destruction of elastic lamina is apparent. Increasing hyalinized collagen fibers cause thickening of tunica interna. (Elastica–van Gieson stain; original magnification ×20.) Journal of Vascular Surgery 2004 40, 1044-1048DOI: (10.1016/j.jvs.2004.08.052) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions