Skip to main content

Advertisement

Log in

Endovascular treatment for a spontaneous rupture of the posterior tibial artery in a patient with Ehlers-Danlos syndrome Type IV: Report of a case

  • Case Report
  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

This report presents the case of a 27-year-old woman with a history of Ehlers-Danlos syndrome Type IV (EDS-IV) who suffered from acute compartment syndrome caused by the spontaneous rupture of the posterior tibial artery. Bleeding control was achieved by endovascular embolization. A fasciotomy was successfully performed without any trouble with hemorrhaging. Endovascular treatment could therefore represent the ideal option for treating infrapopliteal lesions, particularly for EDS-IV patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Oderich GS, Panneton JM, Bower TC, Lindor NM, Cherry KJ, Noel AA, et al. The spectrum, management and clinical outcome of Ehlers-Danlos syndrome type IV: a 30-year experience. J Vasc Surg 2005;42:98–106.

    Article  PubMed  Google Scholar 

  2. Baril DT, Denoya PI, Ellozy SH, Carroccio A, Marin ML. Endovascular repair of a traumatic arteriovenous fistula 34 years after the injury: report of a case. Surg Today 2007;37:78–81.

    Article  PubMed  Google Scholar 

  3. Beighton P, De Paepe AD, Steinmann B, Tsipouras P, Wenstrup RJ. Ehlers-Danlos syndrome: revised nosology, Villefranche, 1997. Am J Med Genet 1998;77:31–37.

    Article  PubMed  CAS  Google Scholar 

  4. Pepin M, Schwarze U, Superti-Furga A, Byers PH. Clinical and genetic features of Ehlers-Danlos syndrome Type IV, the vascular type. N Engl J Med 2000;342:673–680.

    Article  PubMed  CAS  Google Scholar 

  5. Bluman EM, Tashjian RZ, Graves PF, Hughes TB. Subatmospheric pressure-induced compartment syndrome of the entire upper extremity: a case report. J Bone Joint Surg Am 2004;86:2041–2044.

    PubMed  Google Scholar 

  6. Schmalzried TP, Eckardt JJ. Spontaneous gluteal artery rupture resulting in compartment syndrome and sciatic neuropathy: Report of a case in Ehlers-Danlos syndrome. Clin Orthop Relat Res 1992;275:253–257.

    PubMed  Google Scholar 

  7. Hasaniya N, Katzen JT. Acute compartment syndrome of both lower legs caused by ruptured tibial artery aneurysm in a patient with polyarteritis nodosa: a case report and review of literature. J Vasc Surg 1993;18:295–298.

    Article  PubMed  CAS  Google Scholar 

  8. Feliciano DV. The management of extremity compartment syndrome. In: Cameron JL. Current surgical therapy. 9th ed. Philadelphia: Mosby; 2008. p. 1032–1037.

    Google Scholar 

  9. Aiyer S, Thakkar CJ, Samant PD, Verlekar S, Nirawane R. Pseudoaneurysm of the posterior tibial artery following a closed fracture of the calcaneus. J Bone Joint Surg Am 2005;80:2308–2312.

    Article  Google Scholar 

  10. Derom A. Ruptured pseudo-aneurysm of the popliteal artery after percutaneous transluminal angioplasty. Acta Chir Belg 2003;103:102–104.

    PubMed  CAS  Google Scholar 

  11. Georgiadis GS, Deftereos SP, Eleftheriadou E, Zacharouli D, Lazarides MK. Delayed presentation of a posterior tibial false aneurysm. Surgery 2006;139:446–447.

    Article  PubMed  Google Scholar 

  12. Sugimoto T, Kitade T, Morimoto N, Terashima K. Pseudoaneurysms of peroneal artery: Treatment with transcatheter platinum coil embolization. Ann Thorac Cardiovasc Surg 2004;10:263–265.

    PubMed  Google Scholar 

  13. Danes SG, Drenzer AD, Tamim PM. Posterior tibial artery aneurysm: a case report. Vasc Endovasc Surg 2006;40:328–330.

    Article  Google Scholar 

  14. Spirito R, Trabattoni P, Pompilio G, Zoli S, Agrifoglio M, Biglioli P. Endovascular treatment of a post-traumatic tibial pseudoaneurysm and arteriovenous fistula: case report and review of the literature. J Vasc Surg 2007;45:1076–1079.

    Article  PubMed  Google Scholar 

  15. Boele van Hensbroek P, Ponsen KJ, Reekers JA, Goslings JC. Endovascular treatment of anterior tibial artery pseudoaneurysm following locking compression plating of the tibia. J Orthop Trauma 2007;21:279–282.

    Article  PubMed  Google Scholar 

  16. Sugawara Y, Ban K, Imai K, Okada K, Watari M, Orihashi K, et al. Successful coil embolization for spontaneous arterial rupture in association with Ehlers-Danlos syndrome Type IV: report of a case. Surg Today 2004;34:94–96.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Matsushima, K., Takara, H. Endovascular treatment for a spontaneous rupture of the posterior tibial artery in a patient with Ehlers-Danlos syndrome Type IV: Report of a case. Surg Today 39, 523–526 (2009). https://doi.org/10.1007/s00595-008-3881-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00595-008-3881-9

Key words

Navigation