Interlude

Image description

A 39-year-old male patient with a history of road traffic accident presented with swelling ([Fig. 1]) in the right calf. The digital subtraction angiography ([Figs. 2], [3]) reveals a “heart symbol” shaped pseudoaneurysm arising from the proximal right anterior tibial artery with a wide and short neck. The pseudoaneurysm was treated by placing a stent graft (3.5 × 27 mm; Prograft, Vascular Concepts) ([Fig. 4]) across the neck of pseudoaneurysm.

Fig. 1 Clinical photograph reveals upper right leg swelling.

Fig. 2 Color image from digital subtraction angiography reveals a heart shaped pseudoaneurysm from right anterior tibial artery.

Fig. 3 Digital subtraction angiography of right leg demonstrating a heart shaped pseudoaneurysm from right anterior tibial artery.

Fig. 4 Digital subtraction angiography following the exclusion of the pseuodaneurysm with a stent graft demonstrates patent right anterior tibial artery with no opacification of the pseudoaneurysm.