2019 Volume 28 Issue 2 Pages 111-114
A 68-year-old man underwent high tibial osteotomy of the left lower leg for knee osteoarthritis at a hospital. He complained of pain and swelling of his left lower leg since the early postoperative period, which aggravated with time. A pulsating mass was recognized at the lateral side of the lower leg. Imaging studies revealed a pseudoaneurysm connected to the left anterior tibial artery. Endovascular repair was performed using two VIABAHNs placed from the left tibioperoneal trunk to below-the-knee popliteal artery, with simultaneous coil-embolization of the proximal left anterior tibial artery. Completion angiography revealed no contrast staining at the pseudoaneurysm.