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Jornal Vascular Brasileiro

versão impressa ISSN 1677-5449versão On-line ISSN 1677-7301

Resumo

MORAIS FILHO, Domingos de et al. Pseudoaneurysm of the posterior tibial artery after external fixation for leg fracture: case report and review of the literature. J. vasc. bras. [online]. 2007, vol.6, n.2, pp.175-181. ISSN 1677-5449.  http://dx.doi.org/10.1590/S1677-54492007000200014.

We describe a case of pseudoaneurysm in the posterior tibial artery following treatment for tibial and fibula fractures using external fixation (Ilizarov technique), as well as the techniques used for its treatment. Ultrasound-guided compression and ultrasound-guided thrombin injection were unsuccessfully performed. Definite treatment of pseudoaneurysm and arterial reconstruction was achieved through the traditional surgical treatment, using interposed graft of inverted homologous great saphenous vein. Indications, advantages and disadvantages of noninvasive treatment techniques (ultrasound-guided compression and ultrasound-guided thrombin injection) and the possible causes of their inability in obliterating the pseudoaneurysm are discussed. A literature review of pseudoaneurysms of the posterior tibial artery was also carried out, resulting in only one similar case out of 24 published cases.

Palavras-chave : Pseudoaneurysm; posterior tibial artery; ultrasound-guided compression; ultrasound-guided thrombin injection; vascular ultrasound; duplex ultrasound.

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