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Bilateral anterior tibial artery entrapment by the ankle extensor retinaculum: case report

Vascular entrapment is rare. In the lower limbs it is generally asymptomatic, but may cause atypical intermittent claudication in young people without risk factors for atherosclerosis and inflammatory diseases. The most common type of compression involves the popliteal artery, causing symptoms in th...

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Autores principales: Engelhorn, Ana Luiza Dias Valiente, de Miranda, Anna Luiza Cauduro, Biglia, Luiz Eduardo, Castilho, Rafaella, Machado, Sarah Folly Polonio, Abrão, Maurício Henrique, Engelhorn, Carlos Alberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8218083/
https://www.ncbi.nlm.nih.gov/pubmed/34211513
http://dx.doi.org/10.1590/1677-5449.200026
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author Engelhorn, Ana Luiza Dias Valiente
de Miranda, Anna Luiza Cauduro
Biglia, Luiz Eduardo
Castilho, Rafaella
Machado, Sarah Folly Polonio
Abrão, Maurício Henrique
Engelhorn, Carlos Alberto
author_facet Engelhorn, Ana Luiza Dias Valiente
de Miranda, Anna Luiza Cauduro
Biglia, Luiz Eduardo
Castilho, Rafaella
Machado, Sarah Folly Polonio
Abrão, Maurício Henrique
Engelhorn, Carlos Alberto
author_sort Engelhorn, Ana Luiza Dias Valiente
collection PubMed
description Vascular entrapment is rare. In the lower limbs it is generally asymptomatic, but may cause atypical intermittent claudication in young people without risk factors for atherosclerosis and inflammatory diseases. The most common type of compression involves the popliteal artery, causing symptoms in the region of the infra-patellar muscles. When discomfort is more distal, other entrapment points should be considered, such as the anterior tibial artery. This article reports the case of a patient with intermittent claudication in both feet due to extrinsic compression of the anterior tibial artery bilaterally by the extensor retinaculum of the ankle, diagnosed by vascular ultrasonography and angiotomography during plantar flexion maneuvers. The patient was treated surgically, resulting in improvement of clinical symptoms.
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spelling pubmed-82180832021-06-30 Bilateral anterior tibial artery entrapment by the ankle extensor retinaculum: case report Engelhorn, Ana Luiza Dias Valiente de Miranda, Anna Luiza Cauduro Biglia, Luiz Eduardo Castilho, Rafaella Machado, Sarah Folly Polonio Abrão, Maurício Henrique Engelhorn, Carlos Alberto J Vasc Bras Case Report Vascular entrapment is rare. In the lower limbs it is generally asymptomatic, but may cause atypical intermittent claudication in young people without risk factors for atherosclerosis and inflammatory diseases. The most common type of compression involves the popliteal artery, causing symptoms in the region of the infra-patellar muscles. When discomfort is more distal, other entrapment points should be considered, such as the anterior tibial artery. This article reports the case of a patient with intermittent claudication in both feet due to extrinsic compression of the anterior tibial artery bilaterally by the extensor retinaculum of the ankle, diagnosed by vascular ultrasonography and angiotomography during plantar flexion maneuvers. The patient was treated surgically, resulting in improvement of clinical symptoms. Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2020-09-21 /pmc/articles/PMC8218083/ /pubmed/34211513 http://dx.doi.org/10.1590/1677-5449.200026 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of 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
Engelhorn, Ana Luiza Dias Valiente
de Miranda, Anna Luiza Cauduro
Biglia, Luiz Eduardo
Castilho, Rafaella
Machado, Sarah Folly Polonio
Abrão, Maurício Henrique
Engelhorn, Carlos Alberto
Bilateral anterior tibial artery entrapment by the ankle extensor retinaculum: case report
title Bilateral anterior tibial artery entrapment by the ankle extensor retinaculum: case report
title_full Bilateral anterior tibial artery entrapment by the ankle extensor retinaculum: case report
title_fullStr Bilateral anterior tibial artery entrapment by the ankle extensor retinaculum: case report
title_full_unstemmed Bilateral anterior tibial artery entrapment by the ankle extensor retinaculum: case report
title_short Bilateral anterior tibial artery entrapment by the ankle extensor retinaculum: case report
title_sort bilateral anterior tibial artery entrapment by the ankle extensor retinaculum: case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8218083/
https://www.ncbi.nlm.nih.gov/pubmed/34211513
http://dx.doi.org/10.1590/1677-5449.200026
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