[A case of anterior tibial artery pseudoaneurysm].

We present a case of traumatic pseudoaneurysm of the anterior tibial artery in a 74-years-old male. The patient had history of a trauma on his left calf--a penetrating wound caused by a knife. The primary surgical treatment in a traumatological ward resulted in a good non-ischemic condition without signs of bleeding. Ten days after the operation a pulsating mass occurred at the treated place. An angiography was performed demonstrating pseudoaneurysm of the anterior tibial artery, followed by a revision of the lesion by a vascular surgeon (V.C.). A pseudoaneurysm and excessive coagula were found. The presence of a wound infection suggested ligature of the artery, without vascular reconstruction. Peroneal and posterior tibial arteries were patent. The final postoperative result was satisfactory, absence of significant ischemia of the left lower extremity, and healed operative incision.