Absence of Clinical and Hemodynamic Consequences due to Posterior Tibial Artery Congenital Aplasia

The exact knowledge of popliteal artery and its branches' anatomic variations is important for the clinical practice of angiology, vascular surgery, and interventional procedures. Congenital absence of the artery leads, in some cases, to early malformations of the extremity in the childhood; ho...

Descripción completa

Detalles Bibliográficos
Autores principales: Karaolanis, Georgios, Galyfos, George, Karanikola, Evridiki, Palla, Viktoria Varvara, Filis, Konstantinos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4454746/
https://www.ncbi.nlm.nih.gov/pubmed/26090262
http://dx.doi.org/10.1155/2015/821094
_version_ 1782374648934039552
author Karaolanis, Georgios
Galyfos, George
Karanikola, Evridiki
Palla, Viktoria Varvara
Filis, Konstantinos
author_facet Karaolanis, Georgios
Galyfos, George
Karanikola, Evridiki
Palla, Viktoria Varvara
Filis, Konstantinos
author_sort Karaolanis, Georgios
collection PubMed
description The exact knowledge of popliteal artery and its branches' anatomic variations is important for the clinical practice of angiology, vascular surgery, and interventional procedures. Congenital absence of the artery leads, in some cases, to early malformations of the extremity in the childhood; however, it may also remain asymptomatic. We present an unusual case of a 76-year-old male patient complaining of paraesthesia in both limbs and bilateral aplasia of posterior tibial artery (PTA). Physical examination, ankle-brachial indexes, before and after exercise, arterial duplex scan, and magnetic resonance arteriography were performed. Arterial pulses for PTA at the level of the ankle were normal; arterial duplex study showed biphasic arterial flow at the level of the ankle. Color duplex ultrasound as well as magnetic resonance arteriography revealed the absence of the PTA in both limbs. The vascularization of the fibula was bilaterally normal. The patient underwent also neurological examination and electromyography, which were normal. The evaluation of the possible clinical signs and symptoms and the hemodynamic consequences of this condition are further discussed.
format Online
Article
Text
id pubmed-4454746
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Hindawi Publishing Corporation
record_format MEDLINE/PubMed
spelling pubmed-44547462015-06-18 Absence of Clinical and Hemodynamic Consequences due to Posterior Tibial Artery Congenital Aplasia Karaolanis, Georgios Galyfos, George Karanikola, Evridiki Palla, Viktoria Varvara Filis, Konstantinos Case Rep Vasc Med Case Report The exact knowledge of popliteal artery and its branches' anatomic variations is important for the clinical practice of angiology, vascular surgery, and interventional procedures. Congenital absence of the artery leads, in some cases, to early malformations of the extremity in the childhood; however, it may also remain asymptomatic. We present an unusual case of a 76-year-old male patient complaining of paraesthesia in both limbs and bilateral aplasia of posterior tibial artery (PTA). Physical examination, ankle-brachial indexes, before and after exercise, arterial duplex scan, and magnetic resonance arteriography were performed. Arterial pulses for PTA at the level of the ankle were normal; arterial duplex study showed biphasic arterial flow at the level of the ankle. Color duplex ultrasound as well as magnetic resonance arteriography revealed the absence of the PTA in both limbs. The vascularization of the fibula was bilaterally normal. The patient underwent also neurological examination and electromyography, which were normal. The evaluation of the possible clinical signs and symptoms and the hemodynamic consequences of this condition are further discussed. Hindawi Publishing Corporation 2015 2015-05-21 /pmc/articles/PMC4454746/ /pubmed/26090262 http://dx.doi.org/10.1155/2015/821094 Text en Copyright © 2015 Georgios Karaolanis et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Karaolanis, Georgios
Galyfos, George
Karanikola, Evridiki
Palla, Viktoria Varvara
Filis, Konstantinos
Absence of Clinical and Hemodynamic Consequences due to Posterior Tibial Artery Congenital Aplasia
title Absence of Clinical and Hemodynamic Consequences due to Posterior Tibial Artery Congenital Aplasia
title_full Absence of Clinical and Hemodynamic Consequences due to Posterior Tibial Artery Congenital Aplasia
title_fullStr Absence of Clinical and Hemodynamic Consequences due to Posterior Tibial Artery Congenital Aplasia
title_full_unstemmed Absence of Clinical and Hemodynamic Consequences due to Posterior Tibial Artery Congenital Aplasia
title_short Absence of Clinical and Hemodynamic Consequences due to Posterior Tibial Artery Congenital Aplasia
title_sort absence of clinical and hemodynamic consequences due to posterior tibial artery congenital aplasia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4454746/
https://www.ncbi.nlm.nih.gov/pubmed/26090262
http://dx.doi.org/10.1155/2015/821094
work_keys_str_mv AT karaolanisgeorgios absenceofclinicalandhemodynamicconsequencesduetoposteriortibialarterycongenitalaplasia
AT galyfosgeorge absenceofclinicalandhemodynamicconsequencesduetoposteriortibialarterycongenitalaplasia
AT karanikolaevridiki absenceofclinicalandhemodynamicconsequencesduetoposteriortibialarterycongenitalaplasia
AT pallaviktoriavarvara absenceofclinicalandhemodynamicconsequencesduetoposteriortibialarterycongenitalaplasia
AT filiskonstantinos absenceofclinicalandhemodynamicconsequencesduetoposteriortibialarterycongenitalaplasia