Open surgical repair of true saccular aneurysm of dorsalis pedis artery using a reversed great saphenous vein bypass graft

Marcus J Kwon; Jennifer H Ra; Jaime Said; Patrick M Tamim

doi:10.1016/j.jvscit.2023.101378

Open surgical repair of true saccular aneurysm of dorsalis pedis artery using a reversed great saphenous vein bypass graft

J Vasc Surg Cases Innov Tech. 2023 Nov 24;10(1):101378. doi: 10.1016/j.jvscit.2023.101378. eCollection 2024 Feb.

Authors

Marcus J Kwon¹, Jennifer H Ra¹, Jaime Said¹, Patrick M Tamim²

Affiliations

¹ Alabama College of Osteopathic Medicine, Department of Research, Dothan, AL.
² Panama City Vascular, Vascular Surgery Division, Panama City, FL.

Abstract

True aneurysms of the dorsalis pedis artery (DPA) are very rare phenomena with no obvious pathophysiology. Prompt diagnosis and treatment are important due to the high risk of thrombosis, distal embolization, hemorrhage, and rupture. We present a case of a true DPA saccular aneurysm in a 58-year-old man and highlight the feasibility of using a reversed great saphenous vein bypass graft in specifically treating true DPA aneurysms. Our treatment resulted in near-immediate resolution of the patient's foot pain and mass without complications and maintaining arterial patency.

Keywords: Dorsalis pedis artery; Idiopathic; Reversed great saphenous vein bypass graft; True saccular aneurysm.

Publication types

Case Reports