A Ruptured Anterior Tibial Artery Aneurysm in a Patient with von Recklinghausen's Disease

VernacularTitle:ｖｏｎ　Ｒｅｃｋｌｉｎｇｈａｕｓｅｎ病に合併した前脛骨動脈瘤破裂の１例
Author: Shuichi Shiraishi ; Kenji Aoki ; Hiroshi Amano ; Yoshiki Takahashi ; Satoshi Nakazawa ; Hiroshi Kanazawa
Publication Type:Journal Article
From:Japanese Journal of Cardiovascular Surgery 2006;35(4):210-212
CountryJapan
Language:Japanese
Abstract: A 41-year-old woman with neurofibromatosis (NF) was admitted to our hospital for severe pain and right leg swelling of 5 days duration. Paralysis of the right leg due to compartment syndrome was also recognized. She had been diagnosed as von Recklinghausen's neurofibromatosis, previously. 3 D-computed tomography showed a ruptured anterior tibial artery aneurysm. There was a normal patent posterior tibial artery. Since her complaint of pain was severe, we performed an emergency operation. Under the pneumatic tourniquet technique, the aneurysm was resected, and both the proximal and distal sides of the anterior tibial artery were ligated. A massive hematoma was completely removed. Postoperatively, the dorsalis pedis and posterior tibial pulses remained palpable. The paralysis improved considerably and she was given an ambulatory discharge from our hospital 21 days after the operation. Histological examination revealed proliferating wavy spindle cells infiltrating between the adventitia and mesothelium of the aneurysmal wall and staining positively for S 100 immunoperoxidase.